Private Payers (PHI/Employers) Manager - CMH, Gulf

Overview

Position Summary

• Leads the design, execution, and scaling of private reimbursement ecosystems across Private Health Insurance (PHI) and employer segments in the Gulf.
• Owns the full private payer and employer access agenda for CMH and Obesity therapies.
• Operates with senior-level ownership, transforming strategy into scalable, high-impact market solutions.

Key Responsibilities

• Own and lead private payer and employer reimbursement strategy across Gulf markets
• Shape reimbursement frameworks influencing insurer and employer behavior
• Lead financial modeling and value proposition development
• Engage insurers, TPAs, brokers, and large employers at senior level
• Drive employer ecosystem programs and scale across markets
• Lead end-to-end program execution from design to scale
• Ensure governance, tracking and strong follow-through
• Lead cross-functional alignment without authority
• Build and manage ecosystem partnerships

Key Stakeholders

• Internal: PRA, Market Access, Medical, Marketing, Legal & Compliance, Finance, Supply Chain, Commercial Excellence
• External: Private insurers, TPAs, brokers, healthcare providers, employers, strategic partners
• Responsible for influencing senior decision-makers across stakeholders

Market Insights & Strategy

• Lead PHI and employer market assessments
• Generate insights and stakeholder intelligence
• Translate insights into execution strategies

Qualifications & Experience

• Bachelor’s degree required
• MBA preferred
• Master’s in Health Economics / Pharmacoeconomics preferred
• 8–12+ years experience in payer strategy, market access or healthcare ecosystem roles
• Proven track record in leading complex strategic initiatives

Core Competencies

• Strategic thinking and analytical capability
• Financial modeling and business case ownership
• Strong project and program management
• Leadership, ownership and accountability
• Execution excellence and follow-through
• Transformative mindset
• Cross-functional leadership without authority
• Stakeholder influencing and negotiation

Role Impact

• Expands reimbursement access across PHI and employer segments
• Builds scalable employer-led healthcare models
• Drives transformation of the private healthcare ecosystem in the Gulf
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