Head of VBC/Payer Sales

🔥 22 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

🤑 Sales

👻 Ghost score 25%

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Quadrivia AI

WebsiteLinkedInAll Job Openings

11 - 50 employees

🏥 Healthcare

🤖 Artificial Intelligence

☁️ SaaS

Healthcare • Artificial Intelligence • SaaS

Quadrivia AI is a healthcare-focused AI company that builds “Qu,” a clinician-facing AI assistant designed to support clinical workflows across providers, payors, pharma and startups. Qu performs tasks such as history-taking, hypothesis generation, investigation recommendations, treatment planning, monitoring, care coordination, and consultation summarization; it maintains a personal health record, is designed for EHR and wearable integration (future capabilities), and emphasizes clinical safety, human-in-the-loop oversight, regulatory compliance, and customizable deployment. The platform is delivered as a cloud-based, customizable product to help clinicians and healthcare organizations scale patient outreach, follow-up, and routine clinical tasks while preserving clinician control and clinical accuracy.

📋 Description

• Own the payer and MSO revenue motion from first meeting to signed MSA • Sell alongside the CCO and report directly to company leadership • Drive end-to-end enterprise sales cycles with regional health plans, Medicare Advantage organisations, Managed Medicaid MCOs, D-SNPs, and payer-aligned MSOs • Lead executive-level conversations with payer and MSO leadership • Translate population health financial exposure into a quantified AI value proposition • Navigate actuarial review, compliance and regulatory sign-off, IT security assessment, legal negotiation, and medical management committee approval • Conduct 60-day Proof of Performance deployments • Define success scorecards against HEDIS/STAR metrics, member engagement rates, and cost-per-interaction reduction • Manage customer internal champions and convert deployments to paid SOWs • Develop and execute territory strategy across regional payer markets • Maintain pipeline accuracy and contribute to weekly CCO pipeline reviews • Serve as the commercial voice of the payer market to product and clinical teams • Generate pipeline and close deals

🎯 Requirements

• 10+ years in enterprise healthcare sales • Consistent track record of closing complex, multi-stakeholder deals at regional or national health plans, Medicare Advantage organisations, Managed Medicaid MCOs, or large value-based care MSOs managing covered lives • Direct experience selling to VP Care Management, VP Quality, CMOs, and CFOs at payer organisations • Understanding of health plan purchasing decisions, budget authority, compliance, and actuarial review • Ability to manage 9–18 month enterprise payer sales cycles with actuarial, compliance, medical management, IT security, and legal stakeholders simultaneously • Ability to show W2s and commission statements proving consistent overachievement against target at payer-facing companies • Fluency in payer economics: MLR, PMPM cost structure, STAR rating bonus revenue, HEDIS measure economics, and value-based care shared savings arrangements • Experience at a care management technology company, utilisation management vendor, population health platform, or managed care services organisation highly valued • Existing relationships at regional BCBS affiliates, Medicare Advantage plans, Medicaid MCOs, or value-based care MSOs highly valued • Familiarity with NCQA accreditation processes, CMS STAR rating methodology, HEDIS technical specifications, and Managed Medicaid quality reporting highly valued • Experience selling solutions requiring changes to clinical workflows or member outreach operations highly valued

🏖️ Benefits

• Full benefits: medical, dental, vision • Commission plan