Principal, Payer Market Strategy

LE1000 Veradigm LLC; United States; Remote; USD 130,000 - 190,000; Full time

Benefits offered by this job

Holidays & vacation

Medical, dental, and vision insurance

Company paid life insurance

Retirement savings

Job summary

Veradigm seeks a senior strategist to shape how our payer solutions serve Health Plans, MCOs, and government programs. You will translate payer landscape shifts into actionable strategy for Product, Sales, and executives.

This individual contributor role requires expertise and credibility, guiding cross-functional teams without authority and traveling up to 25% as needed.

Qualifications

• 5+ years working in or selling into Health Plans, MCOs, or government health programs (Medicare Advantage, Medicaid, ACA marketplace).
• 4+ years in growth strategy, product strategy, or market strategy roles.
• Demonstrated fluency in payer regulatory frameworks (CMS STAR ratings, HEDIS/NCQA standards, risk adjustment, prior authorization rules).
• Strong track record influencing cross-functional teams without formal authority.

Responsibilities

• Shape solution strategy and market positioning for payer-facing platforms in collaboration with Product and Engineering.
• Run structured Voice of Customer programs and translate insights into product decisions.
• Track payer regulatory changes and brief stakeholders on roadmap and GTM impact.
• Act as subject-matter expert for Sales on complex payer deals.
• Build senior relationships with Health Plan executives and operations leaders.
• Represent Veradigm’s payer perspective externally through talks and industry panels.
• Travel up to 25% travel.

Skills

Payer space experience

Cross-functional influence

Regulatory fluency

Strategic thinking

Job description

Veradigm is looking for a senior strategist to help shape how our solutions serve Health Plans, Managed Care Organizations, and government-sponsored programs. You'll sit at the intersection of product, regulation, and go-to-market, turning shifts in the payer landscape (CMS rule changes, STAR ratings, risk adjustment, interoperability mandates) into clear strategy that Product, Sales, and Executive leadership can act on. This is an individual contributor role for someone who leads through expertise and credibility, not headcount. You'll set direction on complex, ambiguous problems and be the person other teams turn to when they need to understand what the payer market needs.

What you'll do

• Shape solution strategy and market positioning for our Payer-facing platforms, partnering closely with Product and Engineering on roadmap and requirements
• Run structured Voice of Customer programs (advisory councils, win/loss analysis, journey mapping) and translate what you hear into prioritized product decisions
• Track and interpret payer regulatory change (CMS STAR ratings, risk adjustment, prior authorization rules, NCQA/HEDIS, interoperability mandates) and brief stakeholders on what it means for our roadmap and go-to-market
• Act as the subject-matter expert for Sales on complex, strategic payer deals
• Build senior relationships with Health Plan executives, medical directors, and operations leaders to keep Veradigm ahead of market shifts
• Represent Veradigm's point of view on payer market dynamics externally, through conference talks, published analysis, or industry panels, as opportunities arise
• Travel Up to 25% travel

What you'll bring (required)

• 5+ years working in or selling into Health Plans, MCOs, or government health programs (Medicare Advantage, Medicaid, ACA marketplace)
• 4+ years in growth strategy, product strategy, or market strategy roles
• Demonstrated fluency in payer regulatory frameworks (CMS STAR ratings, HEDIS/NCQA standards, risk adjustment, prior authorization rules), with the ability to translate regulatory change into product and GTM decisions
• Strong track record influencing cross-functional teams without formal authority

Nice to have

• Experience formally leading VOC programs (advisory boards, structured interviews, journey mapping)
• Experience shaping pricing, packaging, or value-based positioning for enterprise deals
• A public voice in the payer space, speaking, writing, or industry recognition
• Travel Up to 25% travel

Compensation

Compensation Range: $130,241-$189,502

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network.

Benefits

• Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Other important information

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve.

The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category.

Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada.

Verification of employment eligibility will be required as a condition of hire.

Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

Welcome to Veradigm, where our Mission is transforming health, insightfully. Join the Veradigm team and help solve many of today’s healthcare challenges being addressed by biopharma, health plans, healthcare providers, health technology partners, and the patients they serve.

At Veradigm, our primary focus is on harnessing the power of research, analytics, and artificial intelligence (AI) to develop scalable data-driven solutions that bring significant value to all healthcare stakeholders. Together, we can transform healthcare and enable smarter care for millions of people.