Strategic Health Plan Sales Executive

Carda health Inc.; Oregon; Hybrid; USD 150,000 - 210,000; Full time

Job summary

Carda Health Inc. is hiring for a senior health plan sales role focused on Medicare Advantage and national/ regional plans.

You will own the revenue lifecycle from first meeting to pilot, expansion, and multi-market contracts, selling to UnitedHealthcare, Aetna, Cigna, Elevance, Humana, and regional plans. You will structure deals across fee-for-service, PMPM, and value-based models, manage complex negotiations, and drive expansion with strategic account teams.

Qualifications

• 3++ years selling directly to health plans as a quota-carrying seller.
• Medicare Advantage selling experience is required.
• 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

Responsibilities

• 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

Skills

Health plan sales

Medicare Advantage experience

Pipeline management

Negotiation

Strategic account management

Job description

Carda Health Inc. is hiring for a senior health plan sales role focused on Medicare Advantage and national/ regional plans.

You will own the revenue lifecycle from first meeting to pilot, expansion, and multi-market contracts, selling to UnitedHealthcare, Aetna, Cigna, Elevance, Humana, and regional plans. You will structure deals across fee-for-service, PMPM, and value-based models, manage complex negotiations, and drive expansion with strategic account teams.