Director, Health Plan Sales

This is a fully remote position, open to applicants in United States.

📋 Description

• Initiate and finalize new partnerships with both national and regional health plans.

• Arrange meetings with key decision-makers in areas such as network management, provider contracting, clinical programs, product development, and medical management.

• Identify, evaluate, and secure new health plan partnerships from initial outreach to proposal, negotiation, and contract signing.

• Facilitate discussions on in-network provider contracting, covering topics such as credentialing, reimbursement models, billing and coding, and network adequacy.

• Position 9amHealth as a clinically contracted program for health plans, shaping PMPM, value-based, and outcomes-guaranteed pricing models.

• Navigate intricate buying groups, procurement processes, vendor evaluations, security assessments, and legal negotiations.

• Customize clinical and financial value propositions using ROI, outcomes data, member engagement metrics, quality indicators, medical cost trends, and GLP-1 expenditures.

• Collaborate with the COO, Chief Medical Officer, marketing, finance, and implementation teams on proposals, pricing strategies, marketing materials, and launch transitions.

• Provide competitive insights and buyer feedback to refine product offerings, pricing strategies, and market entry plans.

• Maintain an up-to-date pipeline in HubSpot and present activity, pipeline status, and forecasts to the executive team.

• Represent 9amHealth at industry conferences and events, including AHIP.

• Report directly to the Chief Commercial Officer.

⛳️ Requirements

• A minimum of 8 years in enterprise sales or business development within the healthcare sector.

• At least 5 years of experience selling directly to commercial health plans.

• Proven success in establishing new health plan partnerships, including network provider agreements or vendor contracts.

• A robust, active network among national and regional health plans.

• Extensive knowledge of commercial, ASO/self-funded, Medicare Advantage, and Medicaid business lines.

• Familiarity with network contracting, credentialing, claims and reimbursement processes, quality programs, and vendor procurement.

• Proficient in value-based and outcomes-based contracting.

• Capability to construct clinical and financial ROI cases in collaboration with plan actuaries and medical leadership.

• Experience managing lengthy, complex sales cycles with multiple stakeholders independently.

• Exceptional written and verbal communication skills with executives, clinicians, and contracting teams.

• Willingness to travel up to 40% for client meetings, conferences, and time spent at the Encinitas office.

• Experience in selling digital health, virtual care, or chronic condition management programs to payers is a plus.

• Familiarity with GLP-1, pharmacy benefits, or PBM-adjacent solutions is advantageous.

• Prior experience with health plans is desirable.

• Experience in marketing an emerging product within a growth-stage company is beneficial.

• An entrepreneurial mindset and the ability to build a channel from the ground up is preferred.

• Prior experience with HubSpot or a similar CRM platform is a plus.

• Must be authorized to work in the United States without requiring visa sponsorship.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Flexible paid time off (PTO) policy.

• Opportunities for remote work.

• Budget for professional development.

• Support for continuing education.

• A collaborative and mission-driven organizational culture.

• The chance to make a significant impact on chronic disease management and patient outcomes.

• A flexible team-oriented environment.

• A global and cross-cultural working atmosphere.