VP of Health Plans

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

📋 Description

• Develop the strategy for health plan partnerships, encompassing target plans, sequencing, value proposition, and commercial framework.

• Identify and prioritize national carriers, regional Blues, provider-sponsored plans, TPAs, and both level-funded and self-insured segments.

• Establish partnership economic models in collaboration with Finance and Legal teams.

• Manage the entire sales process from sourcing and qualification to executive relationship management and closure.

• Engage with actuarial, underwriting, medical, employer/commercial, product, network, and strategic partnership leaders.

• Create business cases centered around claims exposure, catastrophic claim frequency, risk-pool composition, MLR, and trend impacts.

• Take ownership of annual revenue targets for new partnerships and channels.

• Maintain executive relationships post-signature and facilitate employer group activation.

• Develop collaborative go-to-market strategies with partner sales, account management, and underwriting teams.

• Train partner-facing teams and supply sales narratives along with data requirements.

• Scale partnerships from initial pilots or segments to the entire portfolio.

• Relay carrier and plan requirements to Product and Operations teams.

• Collaborate with Legal, Compliance, and Security on contracts, data sharing, HIPAA, SOC 2, and vendor diligence.

• Work alongside the ICHRA team on broker-aligned opportunities.

• Represent the company at industry forums and engage with consultants and reinsurance intermediaries.

• Recruit and lead a partnerships team as the channel develops.

⛳️ Requirements

• Over 10 years of experience in health plan, carrier, or health tech commercial roles.

• More than 5 years of experience in selling to or partnering with health plans and carriers.

• Proven track record of closing complex, multi-stakeholder enterprise partnerships with health plans.

• Strong understanding of health plan economics, including risk pools, medical trends, MLR, underwriting, stop-loss, and the differences between self-insured and fully insured models.

• Familiarity with the employer benefits ecosystem, including COBRA administration, benefits administration platforms, consultants, and brokers.

• Strong executive presence with actuarial, medical, and commercial leadership.

• Ability to establish a new channel, including the creation of decks, models, diligence packets, and initial deals.

• Direct experience within a health plan or carrier is highly preferred.

• Experience with Medicare (MA, Med Supp, Part D) is strongly preferred.

• Background in ICHRA, individual market, or exchange distribution is strongly preferred.

• Previous experience in early-stage or scaling companies is strongly preferred.

• Must be authorized to work in the United States.

• Should not require or expect to require sponsorship for employment authorization.

🏝️ Benefits

• 100% employer-covered health insurance.

• Stock options available.

• Competitive salary offered.

• Remote work options.

• Minimal travel required for company meetings and occasional client engagements.