Role: VP Account Management - Healthcare Payer
Location: Remote (US)
Job Description
This is a high-impact commercial leadership role for someone who wants to shape how payers adopt clinical services, utilization management capabilities, and technology-enabled solutions. You will partner with senior leaders across payer organizations to solve complex operational and clinical challenges that influence cost, quality, member experience, and business performance.
Responsibilities
About the role:
- Own and grow strategic payer relationships by helping clients adopt clinical services, utilization management capabilities, and technology-enabled solutions that improve performance across domain operations, clinical operations, and medical management.
- Build trusted relationships with senior leaders, understand their priorities, and translate those priorities into high-value solutions that drive growth and long-term partnership.
- Lead disciplined account management by aligning internal teams, driving executive business reviews, monitoring performance, resolving risks, and serving as a steady escalation point for clients and stakeholders.
- Create growth by shaping solutions across clinical services, care management, utilization management, and technical capabilities, and by expanding into new business units, stakeholders, and strategic opportunities.
- Partner closely with sales, operations, product, legal, and solutioning teams to turn complex client needs into compelling offerings and durable business results.
Qualifications
You may be a good fit if you have:
- Deep experience in account management, business development, or strategic solution sales within healthcare, ideally with strong exposure to payer clinical operations, medical management, or domain operations.
- A track record of creating and growing opportunities inside large, complex client organizations where trust, timing, and executive influence matter.
- Success selling clinical services, utilization management, care management, or technology-enabled operational solutions to health plans and other payer organizations.
- A clinical background is strongly preferred, especially RN licensure and nursing experience in utilization management, case management, or related payer-facing clinical functions.
- A strong grasp of payer operating models and the ability to position analytics, software, platform-enabled services, and clinical operations solutions in a way that resonates with both business and clinical leaders.
- Exceptional communication skills, strong commercial judgment, and the ability to bring structure and clarity to complex conversations.
- Confidence operating with stakeholders at every level, including senior executives and CXO leaders.
- An MBA or other advanced degree is a plus but not required if you bring strong relevant experience and domain credibility.
Why this opportunity is compelling:
- You will work on meaningful healthcare challenges with real operational and clinical consequences, alongside experienced leaders who care deeply about client outcomes and execution quality.
- You will have the opportunity to influence how payer organizations think about growth, modernization, and clinical operations—and to help shape solutions that scale.
- You will learn quickly, collaborate across disciplines, and build a deep understanding of the strategic, operational, and commercial forces shaping healthcare today.
- You will join a team that values ownership, sharp thinking, partnership, and continuous growth—and gives you room to make a visible impact.
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