Self Fund Health is a Wisconsin startup helping Midwest employers do something radical: buy healthcare instead of health insurance. For companies with 50+ employees, we pair transparent, upfront pricing with a clinical team of Nurse Navigators who guide members to high-value care — bending the cost curve in a state that ranks among the highest in the country for healthcare costs. We're a small, fast-moving team where everyone has a real hand in rebuilding the health plan from the ground up, and where the work directly lowers costs for local businesses while improving care for the people who count on them.

The role

We're hiring someone to own the performance of our Direct Primary Care (DPC) and preferred-provider network — and to turn those provider relationships into growth and savings.

In one line: hold the DPC and preferred-provider network accountable for clinical quality and steerage outcomes, and convert those relationships into new employer-side growth and new savings.

This sits at the intersection of clinical network management and business development. You'll be the single owner who keeps our provider partners performing to standard, and who mines those same relationships for warm employer introductions and direct cost-savings agreements.

You'll work hand-in-hand with our nurse navigators — the clinical team who steer members to these providers and manage their care day to day — and partner with sales on employer growth.

What you'll own

1. Provider relationships, onboarding & contracts (the day-to-day foundation)

You'll work closely with our DPC and preferred-provider partners every day. You'll:

• Serve as the primary point of contact for DPC and preferred-provider partners.
• Onboard new partners — explain how SFH works, walk them through the model, and field their ongoing questions, including those related to payment and billing.
• Work with DPCs and preferred providers on their contracts.
• Proactively reach out to find and recruit new DPCs to expand access for members.

2. Preferred-provider list maintenance

You own and maintain the preferred-provider list. Routine updates are increasingly automated — you'll train the AI that maintains it, validate its outputs, and own the edge cases it flags. The value here is accuracy, not volume.

3. Network performance & accountability (the core of the role)

You are SFH's owner of the DPC network and its outcomes. You'll:

• Define the quality, steerage, and operational standards DPC and preferred-provider partners are held to, and document and communicate those standards to every partner.
• Run the relationship — scorecards, quarterly performance conversations, escalations — and decide what triggers a contract review.
• Hold partners accountable to those standards, and track referral leakage (the share of DPC-seen-patient referrals landing at non-preferred providers) as one measure of it — working with the nurse navigators who see steerage play out firsthand.
• Drive adoption of our clinical-data platform: bring on the next set of DPCs, secure access for already-integrated partners, and use the resulting data to inform scorecards.
• When a partner won't meet the standard, make the call to recommend removing them from the network.

4. Provider-sourced employer growth

Operationalize our practice-growth playbook with every DPC and preferred provider. You'll attend alongside our sales team — sales runs the room; you source and set the meeting.

5. Single-case agreement (SCA) sourcing

Identify single-case & cash-pay agreement opportunities, drive the rate negotiation, and get agreements executed — generating direct, measurable plan savings. Nurse navigators often surface these cases and keep the clinical case management; you own getting the agreement done.

What success looks like

• Partners onboarded smoothly and well-supported — they know how SFH works, get timely answers, and have a single reliable point of contact.
• A growing roster of DPCs recruited to expand access for members.
• DPC partners held to clear, documented standards, each with a live, current scorecard.
• Referral leakage to non-preferred providers measured and trending down.
• A steady flow of warm employer introductions sourced from the provider network.
• Executed single-case agreements that lower plan costs.

Who you are

• Experience managing healthcare provider relationships or networks — Direct Primary Care, employer health, TPA/benefits, or a clinically adjacent setting.
• A service mindset: you're comfortable being the day-to-day point of contact, onboarding partners, and patiently answering questions — including billing and payment questions.
• A track record of rate or contract negotiation, or comparable deal-getting-done experience.
• Strong relationship management instincts and the spine to run accountability conversations and make removal recommendations when a partner falls short.
• Comfortable working from data — scorecards, performance metrics — and supervising AI-assisted tooling.
• A business-development edge: you see a provider relationship and recognize the employer introduction or savings opportunity inside it.
• Self-directed; comfortable being the single owner of an outcome.
• Collaborative — you'll work shoulder-to-shoulder with nurse navigators and sales, and know when to lead and when to support.
• Knowledge of self-funded health benefits, stop-loss, or value-based provider arrangements is a strong plus.

Compensation

Competitive base salary, commensurate with experience, plus a performance-based variable component.

Variable pay is structured to reward the growth and savings you generate directly. Specific targets and ranges discussed during the interview process.

Self Fund Health is an equal opportunity employer.