Partnership Development Manager - Payors / Health Plans

United States

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. About the Role

Ophelia Health is seeking a full-time Partnerships Manager to initiate and develop strong, lasting relationships with health plans (payors) to support members with opioid use disorder (OUD). In this role, you will be the strategic link between our organization and our payor partners, focusing on activating utilization and integrating workflows to drive member access. This role is focused on scaling partnerships with health plans (payors) to drive member access to Ophelia's virtual MOUD services. You will work closely with care management, case management, and behavioral health teams within health plans to ensure members with OUD are identified and connected to care. Your mission is to translate health plan partnerships into consistent, high-quality member referrals and improved treatment engagement.

Join Ophelia Health to not only build a career but to make a meaningful impact on one of the greatest healthcare crises of our lifetime. You'll be part of a passionate team, with ample opportunities for growth, competitive benefits, and the chance to truly make a difference in people's lives.

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

Ensure smooth referral processes (warm handoffs, clear eligibility criteria, simple intake)

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!