VP, Sales – Risk & Quality

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

📋 Description

• Support sales teams and CSEs in developing and nurturing relationships with key decision-makers.

• Comprehend client requirements and align existing and future solutions with their strategic objectives.

• Aid in crafting and implementing market-specific sales strategies utilizing market insights and competitive intelligence.

• Collaborate with Sales and Marketing to formulate and execute strategic direction for key prospects.

• Partner with Sales Operations, Product, Technology, Marketing, and Client Services to pinpoint, scope, and assess key prospects.

• Propel new business initiatives and expand current accounts to boost annual recurring revenue.

• Market Risk Adjustment and Quality solutions, encompassing both retrospective and prospective Risk Adjustment offerings, STAR ratings, HEDIS, and quality enhancement solutions.

• Carry out the sales process by analyzing client workflows, aligning needs with solutions, delivering presentations and demonstrations, negotiating pricing and contracts, finalizing sales, and updating the CRM.

• Assist in identifying, qualifying, and pursuing new business opportunities while sustaining a robust sales pipeline.

• Engage with management and executive-level prospects, foster relationships, network with associations, and provide solution demonstrations.

• Support RFI/RFP responses and collaborate with internal product specialists.

• Work collaboratively across functions to facilitate onboarding and ensure long-term client satisfaction.

• Track industry trends, client challenges, CMS regulatory changes, ODAG/HPMS reporting requirements, and risk adjustment coding developments.

• Deliver pipeline forecasts, status reports, activity updates, and risk insights to sales leadership and teams.

⛳️ Requirements

• Over 15 years of experience in Risk Adjustment, Stars, HEDIS, and Quality Solutions, ideally in healthcare SaaS/BPaaS or enterprise software solutions.

• Proven understanding of Medicare Advantage, ACA, and/or Managed Medicaid Risk Adjustment strategies, including retrospective and prospective coding programs.

• Background in selling or positioning quality improvement solutions related to CMS requirements, including STAR ratings and HEDIS.

• Subject matter expertise in healthcare with strong technical knowledge and aptitude in enterprise-class insurance transaction and healthcare management information systems.

• Familiarity with the HealthEdge product suite is advantageous.

• Insight into BPaaS and SaaS delivery models as they pertain to risk adjustment outsourcing, with experience in health plan build vs. buy considerations.

• Demonstrated success in meeting or surpassing sales objectives, with experience managing intricate, multi-stakeholder sales processes.

• Comprehensive knowledge of the healthcare sector, particularly payer/provider dynamics, risk adjustment, and value-based care.

• Outstanding presentation, communication, and interpersonal skills.

• Exceptional verbal and written communication abilities, capable of conveying intricate technical concepts to non-technical audiences.

• Strong analytical and problem-solving skills.

• Capacity to work independently and travel as required within the designated territory.

• Ability to collaborate across multiple time zones in a hybrid or remote working environment.

• Candidates may need to undergo a pre-employment criminal background check.

🏝️ Benefits

• Equal opportunity employer dedicated to workforce diversity.

• Reasonable accommodations available for individuals with disabilities.

• Options for remote or hybrid work arrangements.

• Travel as necessary within the assigned territory.

• Pre-employment criminal background check is required.