[Remote] Vice President of Payer Partnerships & Growth (Medicaid)

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.

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