Sales Leader — Risk & Quality Solutions

HealthEdge: Healthcare SaaS To Accelerate Digital Transformation; United States; Remote; USD 233,000 - 254,000; Full time

Job summary

HealthEdge is seeking a VP of Sales for Risk & Quality to drive recurring revenue in a remote US capacity. You will guide sales, partner with product and marketing, and manage strategic client relationships across Medicare Advantage, ACA, and Managed Medicaid markets.

The role demands leadership, deep risk-adjustment knowledge, and a track record of exceeding targets. Reporting to the SVP, Sales, RAQ, you will shape market strategy, collaborate across departments, and foster long-term client

Qualifications

• 15+ years in Risk Adjustment, Stars, Hedis and Quality Solutions, healthcare SaaS/BPaaS or enterprise software.
• Experience selling quality-improvement solutions tied to CMS requirements, including STAR ratings and HEDIS.
• Healthcare SME with knowledge of enterprise insurance systems; BPM/CRM experience preferred.

Responsibilities

• Build and maintain relationships with key decision-makers.
• Develop and execute market-specific sales plans with leadership and product teams.
• Drive new business and expand existing accounts in Risk Adjustment and Quality.
• Collaborate with Marketing, Product, and Customer Success to align initiatives.
• Stay informed on CMS developments and market opportunities; identify risks and opportunities.
• Forecast and report to SVP of Risk Adjustment and Quality and Sales leadership.

Skills

Risk Adjustment

HEDIS

CMS requirements

Healthcare SaaS

Sales leadership

Enterprise software

Communication skills

Travel willingness

Job description

HealthEdge is seeking a VP of Sales for Risk & Quality to drive recurring revenue in a remote US capacity. You will guide sales, partner with product and marketing, and manage strategic client relationships across Medicare Advantage, ACA, and Managed Medicaid markets.

The role demands leadership, deep risk-adjustment knowledge, and a track record of exceeding targets. Reporting to the SVP, Sales, RAQ, you will shape market strategy, collaborate across departments, and foster long-term client