Head of Payor Strategy

About Abby Care

Aby Care is building the leading AI-native platform for family-led care. America faces a growing care crisis, with millions needing care at home but lacking the tools, training, or recognition they deserve. Abby Care aims to harness the power of family caregivers to deliver better care, drive stronger outcomes, and improve transparency in the healthcare system.

The Opportunity

The Head of Payor Strategy will shape Abby Care's partnership strategy, close contracts, and build the infrastructure needed to prove and capture value at scale. This role reports directly to Executive leadership and collaborates with clinical, finance, operations, and product teams.

Why This Role

C-level partnership: direct access to and collaboration with the CEO and executive team on market strategy, pricing, and expansion decisions.

Full-spectrum payor portfolio: Medicaid MCOs, Medicare Advantage, and commercial health plans; builds a program that spans the full continuum of how home-based care gets financed in America today.

Clinical partnership: work alongside the Head of Clinical to design outcomes-based programs that differentiate Abby Care in plan conversations and justify superior rates.

What You'll Do

• Own relationships with Medicaid MCOs, Medicare Advantage plans, and commercial health plan partners across current and target markets
• Lead contract negotiations for new market entries, rate increases, and value-based program structures
• Define and execute the company's payor roadmap: which plans to prioritize, on what terms, in what market sequence
• Build the payor infrastructure from the ground up: reporting cadences, performance dashboards, quality tracking, and plan-facing analytics
• Partner with clinical leadership to design and articulate an outcomes story that resonates with what health plans actually care about
• Work with finance to model contract economics, pressure-test rate assumptions, and protect margin at scale
• Represent Abby Care at health plan meetings, state conferences, and industry forums

What You Bring

• Experience setting an organization’s health plan strategy — from the plan side (network strategy, provider contracting, government programs, or consulting) or the operator side (Director/VP Payor Strategy, Head of Commercial, CRO, or equivalent at a digital health company)
• Track record of negotiating and closing contracts with Medicaid MCOs, Medicare Advantage plans, or commercial insurers
• Fluency in how plans buy, contract, and measure performance: PMPM and FFS rate structures, authorization mechanics, value-based care arrangements, quality frameworks (HEDIS, CAHPS, state-specific KPIs)
• Understanding of the regulatory and contracting environment for home-based care services or a demonstrated ability to develop deep domain expertise quickly
• Ability to work across internal teams (clinical, finance, product, legal) and serve as the connective tissue between what we deliver and what plans will pay for