Vice President of Payer Partnerships & Growth (Medicaid)

Nadia Care

6d • $260,000 - $288,000

About The Position

Nadia Care is dedicated to improving maternal and birth outcomes, particularly for underserved communities. The organization reimagines maternity care delivery by building trust-based engagement and providing wrap-around support to expectant mothers. This includes care navigation, doula support, assistance with lactation, nutrition, housing, transportation, and other needs, leveraging technology for virtual engagement. Nadia Care complements, rather than replaces, obstetrician relationships by addressing health-related social needs not typically covered by doctors' offices.

Requirements

• 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 successful value-based contracting options for specialty services with Medicaid or commercial 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

Nice To Haves

• Experience in women’s health, maternal health, and specialty populations a plus

Responsibilities

• Leverage 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.

Benefits

• Annual paid holidays off
• Unlimited time off after the 90-day probation period (for Salaried Employees)
• Three weeks of paid time off after the 90-day probation period (for Full-Time Non-exempt Employees)
• Medical Insurance (covering hospital, surgical, and prescription drug benefits)
• Dental Insurance
• Vision Insurance
• Life Insurance
• Disability Insurance (Short-term and long-term)
• 401(k) Retirement Plan

What This Job Offers

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