Health Plan Sales Executive

Carda health Inc.; Durango (CO); Hybrid; USD 120,000 - 180,000; Full time

Job summary

Carda Health is seeking a senior health plans seller to own revenue from first meeting through pilot and expansion. You will target national carriers (UnitedHealthcare, Aetna, Cigna, Elevance, Humana) and regional plans, with Medicare Advantage as the primary focus.

In this builder seat, you bring established relationships; Carda provides outcomes and a scale-ready team. You will design pilots, negotiate contracts, forecast in Salesforce, and drive multi-market expansions.

Qualifications

• 3+ years selling directly to health plans with quota.
• Medicare Advantage selling experience required; commercial/Medicaid alone not acceptable.
• Experience carrying at least one deal from pilot to multi-market or national partnership.
• Existing network of decision-makers at national and regional plans.
• Fluency in economics of MA: Star Ratings, risk adjustment, MLR, bid cycles.

Responsibilities

• Own a named list of national and regional health plans; build multi-threaded relationships across Medicare products, Stars, quality, care management, network and procurement.
• Lead full cycle sales: discovery, ROI modeling, pilot design, contracting, launch, and scale conversion with Sr. leadership alignment.
• Design pilots with pre-defined success metrics, measurement plans, and expansion triggers.
• Structure deals across fee-for-service, PMPM, outcomes-based, and shared-savings models; coordinate pricing with finance and contracting with legal.
• Translate Carda outcomes into plan priorities such as Star Ratings, readmissions, MLR, HEDIS, and total cost of care.

Skills

Health plan sales

Medicare Advantage

Contract negotiation

Sales pipeline management

ROI modeling

Strategic account management

Sales forecasting

Value-based contracting

Tools

Salesforce

Job description

About the role

About Carda:
Carda Health is building the world's first patient-centered virtual heart and lung platform, starting with cardiac and pulmonary rehab. With only 10% of eligible patients accessing rehab, we're revolutionizing care through accessible, effective, and engaging home-based programs. Backed by top investors, we partner with leading hospitals and insurers to expand access to life-saving treatments. We are a team of clinicians, mathematicians, entrepreneurs, and engineers who believe technology and data, when applied ethically, can transform healthcare.

The role

You will own Carda's health plan revenue, from first meeting through pilot, expansion, and multi-market or national contract. You will sell to national carriers (UnitedHealthcare, Aetna, Cigna, Elevance, Humana, CenterWell,etc) and regional plans (BCBS affiliates, provider-sponsored and MA-focused plans such as SCAN and Devoted). Medicare Advantage is the primary book; commercial, Medicaid, duals (D-SNP), and potentially employer lines are secondary (the majority of the focus will be in MA focused).

This is a builder seat. You bring the relationships; Carda brings proven outcomes and a team ready to scale.

What you will do

• Own a named list of national and regional health plans and build multi-threaded relationships across Medicare products, Stars and quality, care management, network, value-based contracting, and procurement.
• Run the full cycle: discovery, ROI modeling, pilot design, contracting, launch, and pilot-to-scale conversion while working with Sr. leadership to ensure alignment to overall Go-to-market strategy.
• Design pilots that are built to convert: pre-agreed success metrics, a measurement plan, and an expansion trigger written into the agreement.
• Structure deals across fee-for-service, PMPM, outcomes-based, and shared-savings models, partnering with finance on pricing and with legal on contracting.
• Translate Carda outcomes into plan priorities: Star Ratings, readmissions, MLR, HEDIS, member experience, and total cost of care.
• Work alongside the Strategic Account Manager to drive expansion on existing relationships
• Forecast accurately in Salesforce and keep a stage-gated pipeline current every week.
• Represent Carda at National Events with a heavy influence on what events and organizations we should join based on the strategy.
• Feed market intelligence back to product, clinical, and leadership to drive Carda's innovation and ensure Health Plan clients see us as a strategic lever to pull for years to come
• Negotiate and re-new national contracts to expand access to care and / or Carda's offering (through additional services) on a national level

What you bring (required)

• 3++ years selling directly to health plans as a quota-carrying seller.
• Medicare Advantage selling experience is required. Commercial-only or Medicaid-only backgrounds will not be considered.
• At least one deal you personally carried from pilot through multi-market or national partnership.
• A current network of decision-makers at national and regional plans.
• Fluency in MA economics: Star Ratings, risk adjustment, MLR, benefit design, and the bid cycle.
• Experience pricing and negotiating PMPM, case-rate, or value-based contracts.
• Comfort with 6–24 month sales cycles and a disciplined pipeline process.
• An ecosystem of trusted partners that are able to be leveraged for strategic insight, opportunity development and market insight
• Industry expertise that allows Carda to be a pioneer in the space; leveraging news, publications, legislation and CMS regulations to better position ourselves in Health Plans

Nice to have

• Experience selling a digital health, virtual care, or care management solution.
• Cardiology, chronic disease, or post-acute experience.
• D-SNP, Medicaid, or employer (self-funded) selling experience.
• Prior experience at a growth-stage company with lean resources.