Commercial Strategy Senior Manager

About the role

Grow Therapy works with most of the largest health plans in the country. As those relationships have matured, the focus has shifted from whether a plan works with us to what we should build together. This role owns a focused set of key relationships end-to-end: deciding what to build with each plan, designing the structure, negotiating it, and staying with it once live. The work runs on a multi-year horizon, involving close collaboration with health plans’ senior executives and Grow’s leadership to drive the company's strategy and influence.

Responsibilities

• Deciding what to build
  • Develop a point of view on each health plan you cover: their behavioral health strategy, pain points, internal ownership, and what would drive ambitious commitments.
  • Design solutions from first principles, including economics, deal terms, volume commitments, referral pathways, clinical programs, and risk-sharing. Tailor each solution to the plan’s unique needs.
  • Build the analytical case: size opportunities, model economics, test assumptions, and produce work that withstands scrutiny from health plan strategy and finance teams.
  • Coordinate with Grow’s co-founders, operations, product, engineering, and finance teams to execute partnerships.
• Structuring and landing it
  • Lead commercial structuring (rate design, exclusivity, volume commitments, performance economics) in direct conversations with health plan executives.
  • Build relationships with senior decision-makers at health plans to enable ambitious agreements.
  • Collaborate with Grow’s operations, product, clinical, and finance teams to align novel structures with deliverable outcomes.
• Owning what it produces
  • Track partnership performance post-launch, diagnose issues, and adjust structures using relationships with health plan leaders.
  • Apply in-market learnings to future structures with the same plan and others.
  • Feed insights into Grow’s product roadmap and long-range planning.

Requirements

• Three to seven years of experience in strategy consulting, corporate development, private equity, venture capital, or a strategy function at a high-growth company, with a strong performance record.
• Comfort with unstructured problems; tendency to invest time in problem framing before solving.
• Commitment to seeing work through to execution and performance in-market.
• Ability to engage senior executives, build long-term relationships, and construct arguments for sophisticated audiences.
• Consideration of second-order effects, including how proposals impact health plans’ network, actuarial, and clinical teams, and Grow’s operational commitments.
• Proactive in building plans rather than waiting for direction.
• Healthcare experience is helpful but not required.

Pay

The base compensation range for this position is:

• Hybrid (NYC, San Francisco, or Seattle hub, 3 days/week onsite): $161,000–$215,000 USD annually.
• Fully remote: $134,000–$179,167 USD annually.

Compensation varies based on experience, qualifications, and location. The role may require travel 2–3 times per year (e.g., company/department offsites).

Benefits

• Health Benefits: Comprehensive medical, dental, vision, life, and disability coverage.
• Grow for Grow: No-cost access to therapy through the Grow platform (U.S. employees).
• Financial Wellness: Retirement savings programs and equity opportunities.
• Time Off: Flexible time off, paid holidays (country-specific), and a company-wide Winter Break.
• Parental Leave: Up to 18 weeks of paid leave and a new child stipend.
• Mental Health Mornings/Afternoons: Dedicated weekly flexible time for self-care.
• Wellness & Development Stipend: Annual stipend for personal wellbeing and professional growth.
• Commuter Benefits: Pre-tax commuter benefits for hub-based employees.
• Home Office & Meals: Support for home workspaces and meal benefits (tailored to remote/hub employees).
• Additional Perks: Wellbeing benefits (e.g., wellness memberships, virtual care), pet insurance discounts (where available), and global travel assistance.