Abby Care Health Plan Strategy Lead at Abby Care owns the research, business case, launch decision, and pilot design for new markets and verticals. This role builds relationships with health plan leadership and drives partnership success.
Responsibilities
Abby Care is scaling fast, expanding into new states and population verticals, and health plan partnerships are the engine of that growth. The Health Plan Strategy team reports directly to our CEO. We own this growth and partnership strategy, plus the execution and infrastructure that make those partnerships succeed. Few teams in a company this size have this much influence over where it goes next.
As Health Plan Partnerships Lead, you’ll report to the Head of Health Plan Strategy and own the work behind every new market and vertical: the research, the business case, the launch decision, and the pilot design. You’ll build the relationships with health plan leadership, launch the partnership, and own whether it works. Each new state and vertical adds scope, and you’ll build the team to take it on.
You’ll thrive here if you understand how health plans operate: their economics, what drives their priorities, how they evaluate and select partners, and how state Medicaid rules shape what they can do. You pair that knowledge with rigorous analysis, building the market models and business cases that justify a decision, and with strong relationship skills, earning the trust of health plan executives over time. This is a high-ownership role on a team that holds a high bar for its work, and we push each other’s thinking. If you want your decisions to directly influence the results of a fast-growing company, and a role that grows as fast as it does, we’d love to hear from you.
This position is a full-time role ideally based 4 days a week in our San Francisco office, but we are open to fully remote for the right candidate.
Build the business case for new states. Size the opportunity, map the competitive and health plan landscape, and define a state-specific entry strategy.
Own state market research. Understand the Medicaid (including waiver) programs in each state, how health plans participate in those programs and their priorities, and what the implications are for Abby Care’s business model. Ensure every program design is compliant and aligned with state incentive models.
Evaluate new verticals. Identify adjacent populations (e.g., Duals, PACE members) where our care model can extend, and build the initial business case and program parameters for those verticals.
Health Plan Partnerships
Set the growth roadmap for each state. Decide which health plans to approach next, our value proposition for each, and which leaders to engage.
Shape our value proposition. Define what Abby Care offers each health plan and why it matters to them, grounded in their priorities and economics.
Support negotiation and plan evaluation. Work with leadership on contract negotiations, and take part in each health plan’s evaluation of Abby Care.
Join strategic health plan meetings. Turn what you hear into adjustments to our programs and market-entry plans.
