Carrot - Sr. Strategic Program Manager

• 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. • Carrot Rx • Develop and support Carrot's claims-based billing strategy, partnering across Product, Engineering, Finance, Provider Partnerships, and Commercial to build scalable reimbursement capabilities. • claims-based billing strategy • 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  📈 • 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. • You likely have: • 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.