Health Plan Sales Executive

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

📋 Description

• Take charge of Carda's health plan revenue from the initial meeting through pilot implementation, expansion, and securing multi-market or national contracts.

• Engage with national carriers and regional health plans, primarily focusing on Medicare Advantage.

• Manage a designated list of national and regional health plans, fostering multi-threaded relationships across Medicare products, Stars and quality metrics, care management, network partnerships, value-based contracting, and procurement.

• Oversee the complete sales cycle: discovery, ROI modeling, pilot design, contracting, launch, and transitioning from pilot to scale.

• Collaborate with senior leadership to ensure alignment with the overarching go-to-market strategy.

• Design pilot programs with pre-established success metrics, measurement plans, and triggers for expansion.

• Structure fee-for-service, PMPM, outcomes-based, and shared-savings agreements in conjunction with finance and legal teams.

• Convert Carda outcomes into plan priorities, including Star Ratings, readmission rates, MLR, HEDIS, member experience, and total cost of care.

• Partner with the Strategic Account Manager to enhance growth in existing relationships.

• Provide accurate forecasts in Salesforce and maintain a stage-gated pipeline on a weekly basis.

• Represent Carda at national events and shape the strategy for these events and organizations.

• Share market intelligence with product, clinical, and leadership teams.

• Negotiate and renew national contracts to broaden access to care and Carda's offerings.

⛳️ Requirements

• A minimum of 3 years of direct sales experience to health plans as a quota-carrying seller.

• Mandatory experience in selling Medicare Advantage; candidates with solely commercial or Medicaid backgrounds will not be considered.

• Proven track record of managing at least one deal from pilot phase to a multi-market or national partnership.

• Established network of decision-makers within national and regional health plans.

• Proficiency in the economics of Medicare Advantage, including Star Ratings, risk adjustment, MLR, benefit design, and the bid cycle.

• Experience in pricing and negotiating PMPM, case-rate, or value-based contracts.

• Ability to navigate 6–24 month sales cycles with a disciplined approach to the pipeline process.

• An ecosystem of trusted partners that can be utilized for strategic insights, opportunity development, and market analysis.

• Industry knowledge leveraging news, publications, legislation, and CMS regulations to effectively position Carda within health plans.

• Preferred: experience in selling digital health, virtual care, or care management solutions.

• Preferred: background in cardiology, chronic disease management, or post-acute care.

• Preferred: experience in D-SNP, Medicaid, or employer (self-funded) sales.

• Preferred: prior experience at a growth-stage company with limited resources.

🏝️ Benefits

• Competitive salary and performance-based bonuses.

• Comprehensive health benefits package.

• Opportunities for professional development and growth.

• Flexible work environment and remote work options.

• Supportive company culture focused on teamwork and innovation.