About RISA Labs
RISA is building mission critical healthcare infrastructure using advanced AI, starting with the most complex workflows in oncology. We deliver resilient, autonomous systems that accelerate clinical operations and revenue for providers, specialty pharmacies and health plans.
Founders
RISA was founded by Kshitij Jaggi and Kumar Shivang, IIT Kanpur alumni with a proven track record from their previous healthcare startup, Urban Health. Their vision is to streamline oncology care through cutting edge technology.
Funding
RISA Labs is a Series A startup backed by Optum Ventures, Cencora Ventures, Oncology Ventures, General Catalyst, Binny Bansal, z21 Ventures, John Simons and select angels.
Role Overview
This is not a traditional partnerships or sales role.
As Head of Payer Relations / Payer Strategy Lead, you will be RISA’s primary interface into payer strategy, operations, and policy execution. You will leverage your existing payer network to establish and deepen strategic relationships while translating regulatory intent into practical, scalable workflows that RISA can power.
You’ll operate at the intersection of regulation, technology, and real-world execution-ensuring RISA’s platform aligns with how payers are actually operationalizing CMS mandates, not how they’re written on paper.
Key Outcomes & Responsibilities
Leverage existing relationships with national and regional payers across Commercial, Medicare Advantage, and Medicaid markets to establish trusted working and leadership-level partnerships. Serve as RISA’s primary point of contact for payer-side strategy, operations, and policy discussions, turning early engagement into long-term, system-level collaboration across organizations managing 100M+ covered lives.
2. Regulatory & Policy Intelligence
Develop a deep, current understanding of how payers are interpreting, sequencing, and operationalizing CMS mandates, including CMS-0057-F, prior authorization reform, interoperability, and transparency rules. Track real execution timelines, dependencies, and constraints - not just policy language, and continuously feed this intelligence into RISA’s product strategy, architecture, and roadmap.
3. Operational Streamlining & Payer Interface Enablement
Work directly with payer teams to streamline operational touch points where RISA interfaces with payer systems, including: