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

• You have three to seven years of experience in strategy consulting, corporate development, private equity, venture capital, or a strategy function at a high-growth company, with a record of strong performance.

• You are comfortable with problems that have no established approach, and you tend to spend real time on how a problem is structured before solving it.

• You want to see your work through. Designing the structure is the interesting part, and you also care about how it performs once it is in-market.

• You can hold your own with senior external executives and build long-term relationships with them. You lead with the answer, and you build arguments that work on sophisticated audiences.

• You think through second-order effects, including how a proposal lands across a health plan's network, actuarial, and clinical teams, and what it commits Grow to operationally.

• You build the plan rather than asking for one.

• Healthcare experience is helpful but not required.

Employment Type: Full Time, Exempt
Base Compensation: The base compensation range for this position is

Hybrid Commitment: $161,000–$215,000 USD Annually

Fully Remote Commitment: $134,000–$179,167 USD Annually

This role can be hybrid (onsite from our NYC, San Francisco, or Seattle hub location three days per week: Tuesday, Wednesday, Thursday) or fully remote. Both arrangements include travel 2–3 times per year (e.g., company and department offsites).
The base compensation for this role will vary depending on several factors, including relevant experience, qualifications, and the candidate’s working location.

Full Time Employee Benefits:

• Health Benefits: Comprehensive medical, dental, vision, life, and disability coverage.

• Grow for Grow: No cost access to therapy through the Grow platform (available to US employees)

• Financial Wellness: Retirement savings programs and equity opportunities to help you invest in your future.

• Flexible Time Off, Paid Holidays & Winter Break: Flexible time off, company paid holidays (which vary by country), and a full company wide Winter Break to rest and recharge

• Parental Leave: Up to 18 weeks of paid parental leave to support you and your growing family and a new child stipend.

• Mental Health Mornings/Afternoons: Dedicated weekly flexible time for self care, whether that's therapy, exercise, journaling, time with family, or simply taking a break.

• Wellness & Development Stipend: Annual stipend to support your personal wellbeing and professional growth, from fitness and education to books and learning resources.

• Commuter Benefits: Pre tax commuter benefits to support teammates working from one of our hub locations.

• Home Office & Meals: Support for your home workspace plus meal benefits, with offerings tailored to both remote and hub based employees.

• Additional Perks: A variety of wellbeing benefits, including wellness memberships, virtual care, pet insurance discounts (where available), and global travel assistance.

Research shows that some groups hesitate to apply unless they meet every qualification. If you’re excited about this role but don’t check every box, we encourage you to apply. At Grow, we value diverse experiences, transferable skills, and the unique strengths each person brings.

Grow Therapy is proud to be an equal opportunity workplace and is an affirmative action employer. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or Veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirements.

Use of AI Tools: We use certain AI and automated tools to support recruitment. These tools help our team review applications, organize interviews, detect potential application integrity issues, and maintain interview records; they do not make final hiring decisions.

Application Review: Ashby's AI-Assisted Application Review helps review application materials against role-specific criteria and may flag potential fraud or integrity issues for recruiter review. All advancement decisions are made by our human recruiting team after independent review. See Ashby's AI Bias Audit Report.

Interview Recording: We use BrightHire to record interviews, supporting note-taking and consistency across candidates. Learn more. Interviews are confidential; you may ask your interviewer to stop recording anytime, or opt out in advance. Choosing not to be recorded will not, by itself, affect your candidacy.

AI-Assisted Recruiter Screen: For select roles, BrightHire's AI features may help structure initial recruiter screens and organize interview notes. All responses are reviewed by our recruiting team; no hiring decisions are made by AI alone.

State-specific notices: Depending on your location, you may have additional rights. Illinois: If AI analyzes a video interview, we'll provide notice, explain how it works and what it evaluates, and obtain consent beforehand. New York City: Where required, we'll provide at least 10 business days’ notice before using an automated employment decision tool and explain how to request an alternative process. Maryland: We do not use facial recognition to create facial templates during interviews unless required notice and written consent are obtained.

Questions, accommodation requests, requests for an alternative selection process, objections to recording, or concerns about AI use? Contact talentops@growtherapy.com. We’re happy to help or offer an alternative way to participate.