Commercial Strategy Senior Manager

About Us:

Grow was born to tackle a critical challenge: making mental health care more effective and accessible for everyone. Since launching in 2020, 15 million sessions have started on Grow, and we've barely scratched the surface. We do it through a three-sided marketplace that empowers providers, augments insurance payors, and serves patients. Every solution we build reveals ten more waiting to be delivered, and that's just what gets us going. We've backed that ambition with more than $328M in funding, including our Series D at a $3B valuation from Sequoia Capital, Transformation Capital, TCV, SignalFire, Menlo Ventures, Goldman Sachs Alternatives, and others.

At Grow, the work you do can literally change someone's life. Your work here doesn't stay on a screen; it impacts whether someone can find, afford, and access quality care. That ambition sets us apart, and offers you an endless runway to impact one of the world's most urgent issues. We don’t have passenger seats here. Everyone is driving something that matters.

This work deserves real commitment. So if you thrive on meeting problems head on, untangling serious complexity, and working at pace with the sharpest yet kindest people around, you've come to the right place.

The Opportunity

Grow Therapy works with most of the largest health plans in the country. As those relationships have matured, the interesting question has shifted from whether a plan works with us to what we should build together, and there is no standard answer to that question.

This role owns a focused set of key relationships end to end. You decide what should be built with each plan, design the structure that delivers it, negotiate it, and stay with it once it is live.

The work runs on a multi-year horizon. You will spend real time with health plans’ senior executives, enough that they bring you problems before they have decided what to do about them.

You will work closely with our Director, Payor Strategy and our VP, Corporate and Business Development on a team small enough that each person carries a meaningful share of the company's strategy and influence to drive it.

What You'll Be Doing

Deciding what to build

Develop a point of view on each health plan you cover: where their behavioral health strategy is heading, what is not working, who owns the problem internally, and what would need to be true for them to commit to something ambitious.

Design the solution from first principles including economics, complex deal terms, directed volume, integrated referral pathways, co-developed clinical programs, risk-sharing. The right combination differs by plan, and in most cases it does not exist anywhere in the market.

Build the analytical case. Size the opportunity, model the economics, test the assumptions, and produce work that holds up to a health plan's strategy and finance teams.

Coordinate with Grow’s leadership. Work closely with our co-founders, operations, product, engineering, and finance to assist in the build, negotiation, and execution of the partnership.

Structuring and landing it

Lead the commercial structuring, including rate design, exclusivity mechanics, volume commitments, and performance economics, in direct conversation with health plan executives.

Build the relationships that make ambitious structures possible. Agreements of this scope are approved by a small number of senior people at each plan, and reaching them takes sustained time and credibility.

Bring Grow's operations, product, clinical, and finance teams into what you are designing, making the trade-offs required to turn a novel structure into something we can deliver.

Owning what it produces

Stay with the partnership after launch. Track how it is performing, work out why/when it is not, and use your relationships with health plan leaders to adjust the structure.

Apply what you learn in-market to the next structure, both with that plan and with the others you cover.

Feed what you learn back into Grow's product roadmap and long-range planning.

You'll Be a Good Fit If