Sr. Strategic Program Manager

About Carrot

Carrot is the leading global fertility and family care platform, built on intelligent care orchestration: the right clinical guidance, at the right moment, in the context of each member’s life. More than a thousand multinational employers, health plans, and health systems trust Carrot to support millions of members across 195 countries – from pre-pregnancy through menopause and major life moments in between. Carrot's comprehensive clinical program delivers industry-leading cost savings for plan sponsors and award-winning experiences and improved outcomes for millions of people worldwide. Carrot is widely regarded as a defining force in healthcare innovation as a recipient of several top-tier awards, including Fast Company's 'Most Innovative Companies' and CNBC's '100 Barrier Breaking Startups'. The company is regularly cited by leading global outlets — including The Economist, Bloomberg, The Wall Street Journal, NPR, ABC News, and Harvard Business Review — as a leading voice on digital health, the future of work, and family health.

The Opportunity

Join Carrot as our Sr. Strategic Programs Manager and play a pivotal role in shaping the future of fertility reimbursement and pharmacy solutions. This highly cross-functional role sits within Global Clinical Operations and serves as the operational leader for Carrot Rx while helping drive the evolution of claims-based billing capabilities that enable Carrot's continued growth with health plans, employers, and provider partners.

In this role, you'll partner across Product, Engineering, Finance, Commercial, Provider Partnerships, Business Intelligence, and Clinical Operations to develop reimbursement strategies, launch strategic initiatives, manage pharmacy partnerships, and bring new capabilities to market. You'll combine strategy, analytics, operations, and relationship management to solve complex business challenges that directly impact members, customers, and the future of fertility benefits.

Responsibilities

• Lead the operational strategy and day-to-day management of Carrot Rx, including strategic pharmacy partnerships, reimbursement strategy, pricing updates, benefit design, and program governance.
• Develop and support Carrot's claims-based billing strategy, partnering across Product, Engineering, Finance, Provider Partnerships, and Commercial to build scalable reimbursement capabilities.
• Manage relationships with pharmaceutical manufacturers, specialty pharmacies, PBMs, provider organizations, and health plans to strengthen Carrot's reimbursement ecosystem.
• Support payer integrations, reimbursement methodologies, coding governance, and claims adjudication strategies that improve member and customer experiences.
• Develop financial models, business cases, dashboards, and operational reporting that support reimbursement strategy, pricing decisions, commercial opportunities, and executive decision making.
• Analyze reimbursement, utilization, provider, pharmacy, and health plan performance to identify opportunities for cost optimization, network improvements, and operational efficiencies.
• Partner with Commercial on customer implementations, RFPs, RFIs, performance guarantees, and strategic customer opportunities requiring reimbursement expertise.
• Lead cross-functional initiatives from concept through implementation while aligning stakeholders across Product, Clinical Operations, Finance, Engineering, Provider Partnerships, Business Intelligence, Customer Success, and Commercial.
• Identify opportunities to improve operational processes through automation, analytics, and scalable program design.
• Serve as the subject matter expert for Carrot Rx and claims-based billing across the organization.

What Success Looks Like

In your first 12–18 months, you will have:

• Successfully assumed operational ownership of Carrot Rx and established scalable processes supporting pharmacy partnerships, pricing, reporting, and program governance.
• Supported the continued development and implementation of Carrot's claims-based billing strategy and reimbursement capabilities.
• Built strong relationships with internal stakeholders and external partners, becoming a trusted advisor on reimbursement strategy and pharmacy operations.
• Improved operational efficiency through enhanced reporting, automation, and financial analyses that support data-driven decision making.
• Supported successful customer implementations, commercial opportunities, and strategic payer partnerships requiring reimbursement expertise.
• Developed financial models and business cases supporting provider contracting, pharmacy partnerships, and future product initiatives.
• Helped identify and implement opportunities that improve reimbursement performance, customer value, and long-term program scalability.

Requirements

• A Bachelor’s degree.
• 5+ years of experience in healthcare strategy, payer operations, reimbursement, pharmacy, provider contracting, healthcare analytics, consulting, or a related field.
• Experience working with health plans, employer-sponsored benefits, provider reimbursement, pharmacy benefit programs, or healthcare payment models.
• Strong analytical and strategic problem-solving skills with the ability to translate complex healthcare topics into actionable business recommendations.
• Experience leading complex cross-functional initiatives involving multiple stakeholders.
• Excellent communication, stakeholder management, and project management skills.
• The ability to balance strategic thinking with hands-on execution in a fast-paced, evolving environment.
• A collaborative mindset with a passion for improving healthcare through innovative solutions.

Nice to Have

• Experience supporting claims-based billing, reimbursement strategy, or payer integration initiatives.
• Knowledge of fertility benefits, reproductive healthcare, pharmacy benefit management (PBM), specialty pharmacy, or women's health.
• Familiarity with provider reimbursement methodologies, CPT, HCPCS, diagnosis coding, and health plan claims processing.
• Experience supporting commercial strategy, customer implementations, RFPs, RFIs, or consulting engagements.
• Strong analytical skills with experience using SQL, Excel, Google Sheets, Tableau, Looker, or other healthcare analytics tools.
• Experience working with pharmaceutical manufacturers, specialty pharmacies, PBMs, or provider organizations.

Why This Role Matters

Carrot is redefining fertility and family-building benefits by making high-quality, personalized care more accessible around the world. As Carrot continues to expand its partnerships with employers, health plans, providers, and pharmacy organizations, scalable reimbursement programs and innovative pharmacy solutions are becoming increasingly important to our long-term success.

This role sits at the intersection of strategy, healthcare reimbursement, analytics, and operations. The work you do will directly influence how Carrot designs new products, supports customers, strengthens pharmacy and provider partnerships, and delivers a seamless experience for members. By helping build the future of Carrot Rx and claims-based billing, you'll play a critical role in expanding access to fertility care while driving meaningful business growth and operational excellence across the organization.

Benefits

• Competitive compensation, equity, and comprehensive benefits.
• Flexible Time Off and a culture that actively encourages employees to recharge.
• Comprehensive parental leave and family-forming benefits.
• A collaborative, inclusive, and values-driven culture.
• Health and wellness benefits, retirement savings plans, short- and long-term incentives.

Pay

The starting base salary for this position will range from $145,000-$160,000. Actual compensation may vary from posted base salary depending on your confirmed job-related skills and experience.