About the Roles

We are hiring two Strategy & Operations Leads to strengthen our Payer and Revenue Cycle functions. Both roles sit at the intersection of strategy and execution, driving initiatives that shape Nourish’s growth and sustainability. These are a full-time, NYC-based roles (3–4 days/week in our Gramercy office, with some remote flexibility).

Payer Strategy & Operations Lead

As Payer Strategy & Operations Lead, you’ll play a critical role in shaping and executing Nourish’s go to market strategy with health plans and our pricing strategy. Reporting to our VP, Payer Strategy, you’ll lead high-impact initiatives across pricing, reimbursement, value-based care strategy, and launching new products—working closely with Nourish leadership and senior leaders at the country’s largest payers. Your work will be instrumental in creating long-term revenue opportunities for Nourish across existing and new products, and will shape the future of how payers invest in nutrition.

Key Responsibilities:

• Drive our contracting strategy and execution: Support negotiations with payers, lead our renegotiation approach, and ensure Nourish’s contracts are structured to maximize both growth and sustainability.
• Own our pricing strategy and analytics: Maintain and improve our pricing model, track and project reimbursement rates, and regularly report insights and recommendations to leadership.
• Lead our value-based care strategy: Develop and refine approaches for alternative payment models and support our Payer Partnerships team in executing against these opportunities.
• Operationalize payer relationships: Collaborate closely with RCM, Credentialing, and EPD to ensure contracts are implemented cleanly and our teams can execute effectively.
• Commercialize new bets: Define the contracting and pricing strategy for emerging products and ensure they’re ready to scale with payers.
• Partner cross-functionally: Partner with teams across Nourish (e.g., Strategic Finance, Partnerships, Clinical Operations, Business Operations) to align on goals, pressure-test assumptions, and deliver on key initiatives.

Revenue Cycle Strategy & Operations Lead

As a Revenue Cycle Strategy & Operations Lead, you’ll be the strategic and operational driver behind the systems that power our revenue collection - helping us collect revenue while building a best-in-class patient and provider experience. Reporting to the Head of RCM, you'll help scale our infrastructure, operations, and team as we expand into new product lines and partnerships.

You’ll sit at the intersection of strategy, execution, and collaboration - designing how we work, partnering across engineering, operations, and finance, and rolling up your sleeves to drive forward the initiatives that matter most. Whether it's activating new insurance contracts, implementing new tech & RCM vendors, driving the success of new product lines and partnerships, or defining the roadmap for our RCM team, you'll be a key player in shaping the future of our RCM function.

Key Responsibilities:

• Drive RCM strategy & operational excellence: Lead initiatives across insurance eligibility, billing, and collections to improve financial outcomes and operational efficiency. Partner cross-functionally to define priorities, identify blockers, and unlock opportunities for improvement.
• Partner with Engineering to scope and launch key tools: Translate RCM needs into product requirements in partnership with Engineering - e.g., launching an AI support agent for billing workflows or revamping insurance eligibility infrastructure.
• Quarterback high-impact special projects: Identify and own high-impact strategic initiatives, end-to-end, collaborating across cross-functional teams (e.g., Product, Marketing, etc.) to drive meaningful results.
• Design and scale RCM reporting: Build and maintain reporting to track progress against team goals, inform leadership strategy, and improve day-to-day decision-making across the RCM org.
• Support new product and market expansion: Help stand up new RCM processes as we expand into new clinical offerings, states, or payer arrangements - ensuring our systems are ready to scale.
• Manage vendor and stakeholder relationships: Lead the day-to-day relationship with our key RCM vendors, including management of issue resolution, performance tracking, and workflow automation.

We’d love to hear from you if:

•  You have 3-5 years of experience, ideally combining time in consulting, banking, or investing and strategy, operations, or product roles at a high-growth startup.
  • Bonus points if you have a passion for healthcare or nutrition, and/or have experience in the industry.
• You’re a first-principles thinker who loves breaking down ambiguous problems and designing solutions tailored to the business context.
• You’re a systems-minded problem solver who enjoys untangling messy workflows and turning them into scalable, tech-enabled systems.
• You’re highly analytical, comfortable building analyses from scratch and cutting data to tell a clear story. You focus on the 80/20 — identifying what matters most and prioritizing ruthlessly to drive impact.
• You’re a strong communicator and project manager, able to distill complex ideas, keep cross-functional efforts on track, and ensure no ball gets dropped.
• You’re a self-starter who is comfortable operating in ambiguity, has a willingness to plug in wherever needed, and has a strong sense of ownership.

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