Who Is Karoo: An Industry Defining Company

Karoo is a venture-backed startup transforming cardiology care through a comprehensive, technology-enabled health management model that improves patient outcomes while reducing total cost of care and enhancing revenue opportunities for health plans. Our value-based approach creates a collaborative framework that enhances provider effectiveness by aligning incentives across all stakeholders: patients, providers, and payers, resulting in superior cardiac care with greater efficiency across the system.

Karoo integrates a curated network of cardiac caregivers and providers, personalized care navigation, and a technology-driven care and key insights platform to rapidly address clinical and non-clinical needs throughout the patient journey. By proactively managing care and closing gaps, Karoo ensures that patients receive the right care without delay, reducing avoidable hospitalizations and improving longer-term outcomes, thereby creating revenue and cost of care savings opportunities for payers.

This is a rare opportunity to join a mission-driven founding team at a pivotal stage and help define the future of healthcare, with the power to improve the lives of patients with cardiovascular disease, the number one cause of death in America today.

Overview

Location: Remote (U.S.-based), with extensive travel in Illinois, Indiana, Michigan and Ohio

Type: Full-time senior business development role

What’s the Job

We are seeking a Senior Manager/Director of Network Development to build, optimize, and manage a high-performance provider network that underpins our company's growth, clinical quality and cost of care goals. You will own market strategy, contracting, and relationship stewardship, driving both network adequacy and value-based performance.

What You’ll Do

Market & Network Strategy

• Map total addressable market, identify network gaps, and prioritize recruitment by specialty, geography, and payer mix.
• Craft multi-year expansion roadmaps aligned with growth, regulatory, and product strategies.

Provider Recruitment & Contracting

• Source, pitch, and close agreements with health systems, physician groups, ancillary providers, and strategic partners.
• Negotiate value-based, including capitation, and fee-for-service arrangements with partner groups.
• Lead end-to-end onboarding, credentialing, and data-integration workflows.

Relationship & Account Management

• Serve as executive liaison to provider leadership, ensuring satisfaction, performance transparency, and rapid issue resolution.
• Collaborate with Clinical Operations and Analytics to deliver actionable performance dashboards to providers.

Network Performance & Compliance

• Monitor cost, quality, access, and utilization metrics; intervene with performance improvement plans as needed.

Cross-Functional Leadership

• Partner with Operations, Product, Engineering, Finance and other departments within the company to scale bespoke value-based programs.
• Present network insights in executive and board settings; inform go-to-market and M&A decisions.

What You’ll Need

• Seven or more years building and/or managing provider networks-including at least three years leading complex negotiations.
• Deep knowledge of reimbursement models, risk adjustment, and regulatory frameworks.
• Proven ability to thrive in fast-growing, ambiguous environments and influence C-suite stakeholders.
• Strong analytical skills; advanced Sheets (or Excel) required, BI tool proficiency, a plus.
• Exceptional communication and relationship-building “chops”.
• Comfort working in high-growth companies; you'll “roll up sleeves” from strategy through execution.
• Prior experience integrating telehealth, remote-patient-monitoring, or care navigation solutions is a plus.
• Track record contracting for shared-savings, capitation, or direct-contracting models.
• Familiarity with risk stratification, HCC coding, and total cost of care analytics.
• Capable of guiding providers through cultural change to succeed under downside risk.
• Demonstrated success launching networks across more than five states, including Medicaid and commercial products.
• Expertise navigating Certificate-of-Need laws and state-specific telehealth regulations.
• Strong network of provider and consultant relationships nationwide.

What You’ll Get

• Competitive compensation, including equity.
• Comprehensive benefits package with ~90% coverage for base plan for employee and dependents and numerous optional addons.
• Direct reporting to our Chief Operating Officer.

Why Join Us

• Shape the future of a company that’s reimagining care delivery.
• Work alongside a passionate, experienced founding team.
• Equity and compensation package commensurate with experience.
• Opportunity to make a meaningful impact on patients, providers, and the healthcare system at large.