Head of Payor Strategy

Abby Care is building the leading AI-native platform for family-led care. America is facing a growing care crisis. Millions more people need care at home than ever. Over 50 million family caregivers support loved ones without the tools, training, or recognition they deserve.
We believe families are the largest untapped caregiving workforce in America, and that technology can help them deliver better care while driving stronger outcomes and greater transparency across the healthcare system.
Abby Care combines clinical oversight with an AI-powered platform to train, enable, and support family caregivers in delivering high-quality care at home. Our platform helps health plans and government partners better understand, verify, and improve care in the home. We expand access to care, reduce reliance on higher-cost settings, and help ensure public dollars are spent effectively.
We are proud to partner with leading health plans, providers, and community organizations and are backed by top VCs. We envision a future where family-led care is a core part of the healthcare system. Abby Care is building that future.
Join us in solving one of the most important challenges of our time.

The opportunity:

Payor relationships are the commercial engine of everything we build. Every market we enter, every family we serve, every new service line we launch connects back to a contract with a health plan: Medicaid managed care, Medicare Advantage, or commercial.

We are hiring a Head of Payor Strategy to own this function entirely: shaping the partnership strategy, closing contracts, and building the infrastructure that lets us prove and capture value at scale. You will have significant latitude to define how Abby Care expands its payor relationships, enters new markets, and positions itself commercially.

You will report directly to Executive leadership and partner closely with clinical, finance, operations, and product. If you are motivated by owning the commercial agenda of a fast-moving company with a real mission, we'd love to talk.

Why this role:

• C-level partnership. Direct access to and collaboration with our CEO and executive team on market strategy, pricing, and expansion decisions.

• Own the function. You define the strategy, build the relationships, structure the deals, and own the outcomes.

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

• Clinical partnership. Work alongside our Head of Clinical to design outcomes-based programs that differentiate us 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

We are not tied to a specific title or years of experience. What matters is that you have negotiated and closed consequential deals with health plans and can show the results.

Benefits:

• Competitive compensation packages that reflect the value you bring. We reward our team for the impact of their work – full-time employees are eligible for an annual company performance bonus.

• Comprehensive health coverage that works for you. Choose from high-quality medical dental and vision options, including a $0 deductible PPO and a company-funded HSA, alongside employer-paid life and disability insurance.

• Generous paid time off. We provide policies that allow you to recharge along with 10 paid company holidays.

• Financial savings benefits to support your future. We support your financial well-being with HSA contributions, optional FSA and commuter benefits, and full coverage of all 401(k) account fees (employer match not currently offered).

• Paid parental leave to support your growing family. We provide paid leave, so you can focus on bonding and adjusting to life as your family grows.

We are an equal opportunity employer and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

1. Families First
   Redefining healthcare starts with how we treat the parents and children we serve. We go above and beyond for every family, building strong, lasting relationships. We continually ask ourselves, “Would we want this for our own families?”

2. Urgency with Precision
   Millions of families are waiting for care, and they cannot wait, therefore this is not your typical 9 to 5 job. We match their urgency with our own, delivering exceptional care without compromise. Here, speed and excellence go hand in hand.

3. Relentlessly Resourceful
   As an ambitious startup, we adapt quickly and make the most of limited time and resources. We solve challenges with creativity to deliver results without unnecessary complexity.

4. Purpose with Positivity
   We take our mission seriously while never losing sight of the people behind the work. Respect, kindness, memes, and coffee make us stronger as a team and better for the families we serve.

5. Driven to Redefine What’s Possible
   We are here to make healthcare better, which means asking hard questions, challenging outdated systems, and finding smarter, more compassionate ways to deliver care.