Manager, Payer Operations and Enablement

About Boulder

Boulder Care is an award-winning digital clinic for addiction medicine, recognized for both innovation and high quality of patient care. Founded in 2017 by CEO Stephanie Strong, our mission is to improve the lives of people with substance use disorders through compassionate, evidence-based care.

We provide Boulder patients with a fully virtual, multidisciplinary care team—including medical providers and peer recovery specialists—who deliver personalized treatment, including medication for opioid use disorder (MOUD) and ongoing support. Our approach is grounded in clinical excellence, patient-centered care, and a commitment to reducing barriers to recovery. Boulder partners with leading health plans, employers, and community organizations to ensure that our services are accessible and covered for the people who need them most.

Named by Fortune as one of the Best Workplaces in Healthcare, we foster a culture of kindness, respect, and meaningful work that delivers outstanding patient outcomes and moves the addiction medicine industry forward.

About this role

The Manager, Payer Operations and Enablement is a force-multiplier role responsible for operating rigor, execution velocity, and institutional memory across Boulder Care’s payer partnerships and contracting efforts. You will support Value Based Partnerships across Medicaid and Commercial payer contracting efforts.

This is a hands-on, internal role that blends pipeline management, deal support, and cross-functional coordination to ensure senior leaders spend time on strategy, negotiation, and decision-making - not administration.

You're a great fit if you consider yourself a systems builder and doer - someone who serves as connective tissue across the payer function and enables senior leaders to focus on strategy, negotiation, and decision-making. You value speed, clarity, and reliability of execution. This role does not own payer strategy, pricing, or negotiation.

What you'll do

• Own payer pipeline tracking, hygiene, and reporting
• Prepare decks, narratives, and materials for payer meetings
• Conduct market and payer analysis for new and existing states
• Run meeting prep, notes, follow-ups, and next-step tracking
• Actively participate in weekly payer meetings, capturing decisions, action items, and follow-ups, and maintaining accurate internal records
• Coordinate inputs from Finance, Analytics, Clinical, and Ops
• Support renegotiations with structured materials and timelines
• Maintain institutional memory across deals and accounts
• Take on special projects and flex into adjacent responsibilities as needed to support the payer-facing function

What you bring

• 5–8+ years in a high growth startup or healthcare consulting required
• Strong project management and communication skills
• Highly analytical, detail-oriented, and solution-focused, with the ability to translate complexity into clear materials and action plans
• Excellent written and visual storytelling (decks, summaries)
• Comfort working with senior leaders and ambiguity
• General understanding of healthcare and how health plans contract with providers
• Demonstrated ability to independently own and drive projects to completion
• Experience supporting sales or contracting teams and building foundational processes and systems in high-growth digital health or healthcare environments

Nice to have but not required

• Experience with value-based care and Medicaid

Work environment

• This is a fully remote role but we are currently only hiring candidates located in the following states: AZ, CA, FL, GA, ID, IL, KY, MA, NC, NJ, NY, OH, OR, PA, SC, TN, TX, UT, WA, and WV. Applicants must reside and work in one of those states to be considered.
• Applicants must be authorized to work for any employer in the U.S. We are unable to sponsor or take over sponsorship of an employment Visa at this time.
• Office Requirements: Boulder teammates working with sensitive information must have a dedicated, private workspace with a lockable door and high-speed internet to maintain a secure, distraction-free environment, ensuring compliance with HIPAA and confidentiality standards
• Boulder Care employees are free to use our river-front HQ located in Portland, OR whenever they would like

Expected hours of work

This is a full-time remote position expected to work 40 hours between Monday-Friday.

Compensation

The starting pay range for this position is $110,000 - $120,000; base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, skills, and experience. The total compensation package for this position may also include other elements, including a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave).

Some of Boulder’s amazing benefits for regular, full-time employees

• Contribute to meaningful, life-saving work!
• Comprehensive medical, dental, vision, and short-term disability benefits designed to take care of our employees and their families
• Mental Health Services via insurance coverage, including Talkspace and EAP for continuous care
• 4 weeks of vacation accrued per calendar year with a tenured increase to 5 weeks at 2 years of employment
• Sick leave accrued at 1 hr for every 30 hrs paid
• 9 Paid Holidays per year
• 12 weeks of 100% paid parental leave for the birth or adoption of a child (after 6 months of employment)
• 401(k) retirement savings
• Remote friendly with hardware provided to complete your work duties

Our values

• The people we care for always come first
• Our opportunity is also our duty, in service to others
• Share facts to change minds, instill empathy to change hearts
• Move the industry forward: follow the data
• Strong individuals, stronger together