Solutions Value Architect – Payer

🔥 15 hours ago

🇺🇸 United States – Remote

💵 $175k - $200k / year

⏰ Full Time

🟠 Senior

🔴 Lead

🏛️ Architect

👻 Ghost score 0%

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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Vatica Health

WebsiteLinkedInAll Job Openings

201 - 500 employees

🏥 Healthcare

⚕️ Healthcare Insurance

☁️ SaaS

💰 $1.2M Venture Round on 2013-11

Healthcare • Healthcare Insurance • SaaS

Vatica Health is a healthcare company that offers advanced solutions for risk adjustment and quality of care. By combining expert clinical teams with cutting-edge technology, Vatica Health improves financial performance for health plans and providers by capturing accurate diagnosis codes and reducing audit risks. The company's model enhances provider utilization of preventive services and patient engagement, while also supporting quality programs at the time of patient visits. With seamless integration into provider workflows, Vatica Health focuses on increasing coding accuracy, compliance, and efficiency, ultimately benefiting health plans, providers, and patients. Their EMR-agnostic technology and on-site clinical consultants ensure improved care delivery and wellness outcomes, particularly through services like Annual Wellness Visits.

📋 Description

• Own and define the enterprise payer-facing value narrative across all solutions and customer segments • Establish standardized ROI methodologies, including definitions, assumptions, guardrails, and defensibility criteria • Define credible and defensible value claims across the organization • Design and institutionalize executive storytelling frameworks and templates for customer and market engagement • Design and deploy standardized executive-level EBR architecture • Develop scalable ROI frameworks and maintain an analytics-backed case study library • Define customer outcomes, reporting, and metrics requirements with Data & Analytics • Synthesize Medicare Advantage, risk adjustment, quality program, regulatory, and market changes into actionable insights • Translate industry shifts into company positioning, value narratives, and customer implications • Partner with Data & Analytics, Customer Success, Sales, and Marketing to align metrics, EBRs, deal strategy, and market-facing claims • Lead value- and industry-related portions of executive client conversations with payer stakeholders • Articulate ROI, value stories, and industry implications for customers and prospects • Contribute to external thought leadership and establish credibility as a trusted advisor to payer executives • Independently define ROI frameworks, EBR structures, defensible value standards, and enterprise value positioning • Obtain executive approval for external claims affecting positioning or contractual/pricing implications

🎯 Requirements

• 10+ years of experience in healthcare, healthcare SaaS, value-based care, Medicare Advantage, quality measurement, risk adjustment, or related domains • Deep understanding of provider and provider office workflow, behavior drivers and needs • Effective executive communication and storytelling skills • Strong analytics acumen and experience translating analytics into clear strategic narratives • Ability to operate as an internal advisor across Solution, Analytics, Commercial, and Executive teams • Strong pattern recognition