Health Plan Sales Executive

Job not on LinkedIn

🔥 8 minutes ago

🇺🇸 United States – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🤑 Sales

👻 Ghost score 25%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Carda Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

🏥 Healthcare

⚕️ Healthcare Insurance

🧘 Wellness

💰 Pre Seed Round on 2020-04

Healthcare • Healthcare Insurance • Wellness

Carda Health is a virtual healthcare company focused on providing at-home cardiopulmonary rehabilitation for individuals with lung and heart diseases. Recognizing that many patients miss out on life-saving care, Carda Health delivers evidence-based, high-standard care directly to patients' homes. Patients are supported by a team of world-class providers, including doctors, nurse practitioners, and clinical exercise physiologists, who personalize rehabilitation plans to meet individual needs. Carda Health offers live interaction and monitoring, using tools sent directly to patients' homes. The service is highly rated by users, with significant improvements reported in health metrics and quality of life after just 12 weeks of participation.

📋 Description

• Own Carda's health plan revenue from first meeting through pilot, expansion, and multi-market or national contract • Sell to national carriers and regional health plans, with Medicare Advantage as the primary focus • Own a named list of national and regional health plans and build multi-threaded relationships across Medicare products, Stars and quality, care management, network, value-based contracting, and procurement • Run the full sales cycle: discovery, ROI modeling, pilot design, contracting, launch, and pilot-to-scale conversion • Work with senior leadership to align with the overall go-to-market strategy • Design pilots with pre-agreed success metrics, measurement plans, and expansion triggers • Structure fee-for-service, PMPM, outcomes-based, and shared-savings deals with finance and legal • Translate Carda outcomes into plan priorities including Star Ratings, readmissions, MLR, HEDIS, member experience, and total cost of care • Work alongside the Strategic Account Manager to drive expansion on existing relationships • Forecast accurately in Salesforce and maintain a stage-gated pipeline weekly • Represent Carda at national events and influence event and organization strategy • Feed market intelligence to product, clinical, and leadership teams • Negotiate and renew national contracts to expand access to care and Carda's offering

🎯 Requirements

• 3++ years selling directly to health plans as a quota-carrying seller • Medicare Advantage selling experience required; commercial-only or Medicaid-only backgrounds will not be considered • At least one deal personally carried from pilot through multi-market or national partnership • Current network of decision-makers at national and regional health plans • Fluency in Medicare Advantage economics: Star Ratings, risk adjustment, MLR, benefit design, and the bid cycle • Experience pricing and negotiating PMPM, case-rate, or value-based contracts • Comfort with 6–24 month sales cycles and a disciplined pipeline process • Ecosystem of trusted partners that can be leveraged for strategic insight, opportunity development, and market insight • Industry expertise using news, publications, legislation, and CMS regulations to position Carda in health plans • Nice to have: experience selling digital health, virtual care, or care management solutions • Nice to have: cardiology, chronic disease, or post-acute experience • Nice to have: D-SNP, Medicaid, or employer (self-funded) selling experience • Nice to have: prior experience at a growth-stage company with lean resources