Note: The job is a remote job and is open to candidates in USA. Nadia Care is dedicated to improving maternal health outcomes for underserved communities. The Vice President of Payer Partnerships & Growth will drive business growth within Medicaid markets, leveraging existing relationships and building sales infrastructure to align with Medicaid policies and regulations.
Responsibilities
- Leverage your established network within national and regional Medicaid MCOs to immediately seed the sales pipeline with high-value opportunities
- Conduct deep-dive research into state-specific Medicaid landscapes to identify and prioritize high-value targets for the pipeline
- Own the end-to-end process of setting up high-level meetings with health plan executives and coordinate closely with the CEO to leverage their presence effectively
- Partner with the executive leadership team to execute complex business development deals as the tactical lead who maintains momentum toward signed contracts
- Evaluate current and potential new geographic areas for expansion based on regulatory shifts and market demand
- Build and manage the foundational sales technology stack including the CRM (Hubspot) and lead sourcing tools to transition institutional knowledge into a scalable system
- Establish the formal sales playbook by defining lead qualification criteria and creating standardized follow-up cadences
- Create and maintain a repository of sales enablement collateral and competitive intelligence to support ongoing business development efforts
- Define and track key performance indicators to provide the executive team with clear visibility into the sales funnel and conversion rates
- Serve as the internal expert on Medicaid policy and state-specific regulatory changes that impact payer priorities as it relates to maternal health
- Lead the business review of all contracts and amendments to ensure they remain in alignment with the current regulatory environment
- Advise the executive leadership team on legislative trends that could impact net revenues or create new opportunities for alternative payment models
- Lead contract strategy and negotiations to optimize partnership structure and long-term financial health
- Own the pricing models and review unit economics for each contract in collaboration with the finance and operations teams to ensure sustainable growth
- Collaborate with the product team to develop and monitor outcome-based performance metrics for alternative payment models
- Work across the operations and technology teams to ensure that all sold services can be successfully delivered through smooth implementation hand-offs
- Deliver market insights to the product team to inform the development roadmap based on direct feedback from payer prospects
- Prepare accurate revenue forecasts and advise leadership on market presence and reimbursement trends
Skills
- Bachelor's Degree in business, communications, health administration or a related field required
- MBA or equivalent
- 10+ years experience in healthcare payer strategy or consulting in the payer contracting space
- Deep understanding and experience with developing and negotiating payer contracts, particularly for Medicaid MCOs; commercial payer experience is a plus
- Deep network and previously established relationships with Medicaid payers
- Experience with early stage startups a must
- Excellent written and interpersonal communication skills including active listening, self-management and awareness, emotional intelligence, and a high degree of integrity and professionalism
- Proven financial acumen and ability to identify the impact of changes on budget goals and financial targets
- Experience facilitating buy-in and engagement across diverse stakeholder groups
- Ability to anticipate risks and mitigate effectively
- Proven experience selling to C-level executives nationally
- Proven record of exceeding sales quota
- Experience with Hubspot, Google Suite required
- Ability to travel as needed (up to 30%) for meetings and conferences
- Experience with successful value-based contracting options for specialty services with Medicaid or commercial payers
- Experience in women's health, maternal health, and specialty populations a plus
Benefits
- Recharge with annual paid holidays off.
- Salaried (Exempt) Employees: Enjoy unlimited time off after the 90-day probation period.
- Full-Time (Non-exempt) Employees: Receive three weeks of paid time off after the 90-day probation period.
- Medical Insurance: Access top-tier healthcare, covering hospital, surgical, and prescription drug benefits. Coverage begins the first of the following month.
- Dental Insurance: Coverage for preventive care, as well as basic and major procedures.
- Vision Insurance: Coverage for routine eye exams and eyeglasses.
- Life Insurance: Financial protection for your beneficiaries.
- Disability Insurance: Short-term and long-term coverage in case of illness or injury.
- 401(k) Retirement Plan: Opportunity to save for the future.
Company Overview