Partnership Development Manager - Payors / Health Plans
United StatesEst. $80K – $100K
Posted Apr 3, 2026
***Are you looking for a role in a company that's solving one of the greatest challenges of our lifetime?***Ophelia helps people end their opioid use and restore their quality of life with respect for their time and dignity. Our mission is to make evidence-based treatments for opioid use disorder (OUD) accessible to everyone... and we're looking to bring more people onto our team to help us achieve it. Ophelia is a venture-backed, healthcare startup that helps individuals with OUD by providing FDA-approved medication and clinical care through a telehealth platform. Our approach is discreet, convenient, and affordable. We've been successfully operating in 14 states for almost six years and we're excited to continue our growth. We are a team of physicians, scientists, entrepreneurs, researchers and White House advisors, backed by leading technology and healthcare investors working to re-imagine and re-build OUD treatment in America. ### What you'll do:
Build and manage relationships with key stakeholders across health plans, including:
Case managers and care coordinators
Behavioral health teams
Population health and care management leadership
Serve as the day-to-day partner ensuring Ophelia is top-of-mind for appropriate member referrals
Design and implement referral pathways within health plan workflows to connect members to Ophelia
Partner with external care management teams to:
Embed Ophelia into case manager workflows and escalation pathways
Drive adoption by making referrals easy, repeatable, and aligned with plan operations
Monitor referral trends and proactively engage case managers to increase appropriate referrals
Identify gaps in utilization and implement targeted strategies to improve performance
Educate health plan teams on:
Ophelia’s clinical model and outcomes
When and how to refer members
The value of MOUD in reducing total cost of care and improving outcomes
Position Ophelia as a trusted extension of the plan’s care management strategy
Track and analyze:
Referral volume by plan and team
Conversion from referral → patient entering care
Engagement and retention metrics
Use data to:
Identify high- and low-performing partners
Adjust outreach and engagement strategies
Report back to internal and external stakeholders on performance
What we're looking for:
2-5+ years of Health plan experience: Experience working with or within health plans (Medicaid managed care strongly preferred), with exposure to payor partnerships, care management/case management programs, or behavioral/population health
Utilization-focused operator: Proven ability to drive utilization and engagement within existing partnerships (not just close deals)
Health plan fluency: Strong understanding of health plan operations, including case management workflows, member engagement challenges, and behavioral health care coordination
Stakeholder influence: Ability to engage and influence non-sales stakeholders (e.g., case managers, care coordinators, behavioral health teams) and build trust across clinical and operational teams
Data-driven execution: Highly analytical and comfortable using data to track performance, identify gaps, and adjust strategy to drive results
Operator mindset: Focused on execution, adoption, and measurable outcomes vs. just relationship-building
Cross-functional communicator: Able to translate between clinical care, payor priorities, and member needs to drive alignment and action
Mission-driven: Passionate about improving access to care for high-need, underserved populations
Proven ability to maintain professionalism and confidentiality when working with sensitive and confidential information
Ability to travel periodically for partner visits
Preferred:
Medicaid or dual-eligible populations
OUD/SUD treatment or behavioral health
Value-based care or cost-of-care reduction strategies
Experience with:
Existing relationships within health plans or care management teams
Our Benefits Include
Competitive medical, vision, and health insurance (many plans are fully covered for the employee!)
Start with 20 days (4 weeks) of PTO, increasing to 5 weeks after 2 years and 6 weeks after 5 years of tenure
10 company holidays
Work From Home Stipend
401k Contribution Platform
Additional benefits offered through our benefits provider such as life insurance, short and long term disability, financial wellness, virtual primary care, among others! #LI-Remote
Ophelia Compensation Overview
We set compensation based on the level and skills required for the role. We value pay transparency and equity, and are committed to fair pay. In order to prevent pay disparities and reduce time spent in negotiations, we take a “first and best” offer approach: this means we’re not holding any compensation back from our candidates, and you can feel confident that our pay is fair and does not vary based on the strength of someone’s negotiation skills. - Compensation is dynamic at Ophelia: as long as the company performs well and meets our targets, there will be opportunities for increased compensation annually. We’re happy to discuss this approach and our bands if you have questions during the interview process. Compensation Range
$80,000—$100,000 USD
Interested in learning more about Ophelia and this role? Apply to work with us!
