Sales & BizDev Manager - healow Insights

Career Paths • Westborough, MA

6d • Remote

About The Position

Healow Insights is seeking a highly motivated and results-driven Sales & Business Development Manager with deep expertise in Risk Adjustment, Quality Programs, HEDIS®, Stars, Value-Based Care and Health Plan Sales. The ideal candidate will be responsible for driving market expansion, developing strategic partnerships, generating new business opportunities, and selling healow Insights solutions to health plans, ACOs, MSOs, CINs, and value-based care entities. The individual will work closely with executive leaders, product teams, and prospective clients to demonstrate how healow Insights improves quality performance, closes care gaps, optimizes risk capture, and enhances value-based care outcomes.

Requirements

• Bachelor's degree in business, Healthcare Administration, Public Health, or related field.
• 5+ years of experience in Healthcare sales and business development experience.
• Proven experience selling to: Health Plans, ACOs, MSOs, CINs, Value-Based Care Organizations.
• Strong understanding of: Risk Adjustment, HCC Coding, Medicare Advantage, Medicaid, Managed Care, Quality Programs, Population Health, Value-Based Care.
• Demonstrated success meeting or exceeding sales quotas.
• Experience managing complex enterprise sales cycles.
• Excellent communication, presentation, and negotiation skills.
• Domestic Travel up to 50%.

Nice To Haves

• Experience with HEDIS®, CMS Stars, CAHPS, and quality reporting programs is preferred.
• Experience selling healthcare analytics, population health, care management, engagement, or quality improvement solutions is preferred.
• Existing relationships within health plans and provider organizations.
• Knowledge of EMR/EHR platforms such as eClinicalWorks, Epic, Cerner, Athenahealth, and NextGen.
• Experience selling data analytics, healthcare technology, or data solutions is preferred.

Responsibilities

• Develop and execute strategic sales plans to achieve revenue and growth targets.
• Identify, qualify, and pursue new opportunities with health plans, provider groups, ACOs, CINs, FQHCs, and integrated delivery networks.
• Build and maintain executive-level relationships with C-suite leaders, medical directors, quality executives, and population health stakeholders.
• Own the full sales cycle, including prospecting, discovery, solution presentations, proposal development, contract negotiations, and deal closure.
• Collaborate with marketing and product teams to develop go-to-market strategies and sales initiatives.
• Maintain a robust sales pipeline and provide accurate forecasting.
• Develop relationships with Medicare Advantage, Medicaid, ACA, Commercial, and Dual-Eligible health plans.
• Position healow Insights solutions to address payer challenges related to quality improvement, member engagement, risk adjustment, and value-based contracts.
• Understand health plan priorities associated with CMS Stars, HEDIS, CAHPS, and quality incentive programs.
• Support partnership development opportunities between health plans and provider organizations.
• Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities.
• Consult with prospects on strategies to improve documentation, coding accuracy, and risk score performance.
• Demonstrate value propositions related to: Prospective and retrospective risk adjustment, Suspect condition management, Hierarchical Condition Categories (HCC), Clinical documentation improvement, Quality measure performance, Care gap closure, Population health analytics.
• Educate clients on best practices for quality improvement initiatives and value-based performance programs.
• Conduct product demonstrations and executive presentations.
• Translate client business challenges into customized healow Insights solutions.
• Collaborate with implementation and customer success teams to ensure successful client onboarding and adoption.
• Participate in industry conferences, trade shows, and networking events to promote healow Insights.

Benefits

• Eighteen days of Paid Time Off per year which scales based on tenure
• Nine Paid Holidays and one Floating Holiday
• Medical insurance
• Dental insurance
• Vision insurance
• Basic life insurance
• Short term disability insurance
• Long term disability insurance
• Business travel accident insurance
• Accidental death and dismemberment insurance
• 401(k) plan with a Company safe harbor contribution
• Flexible Spending Account for Health Care
• Flexible Spending Account for Dependent Care
• Limited personal leave
• Additional voluntary benefits, including additional insurance (hospital indemnity, critical illness, accident, supplemental life, short term disability buy up, pet)
• Genetic testing
• Legal plan
• Supplemental accidental death and dismemberment
• Annual discretionary bonus for eligible employees

What This Job Offers

• Job Type: Full-time
• Career Level: Senior