VP of Payer Solutions

Clarest Health; Vienna (VA); Remote; USD 165,000 - 185,000; Full time

Job summary

Clarest Health is seeking a VP of Payer Solutions to lead new business development in medication management and SaaS solutions. This executive role focuses on expanding market presence and driving revenue growth through strategic partnerships with health plans and payers. Candidates should have a strong sales background in healthcare, with expertise in HEDIS measures and STAR ratings, ensuring compliance and successful implementation.

Benefits

Comprehensive Medical, Dental and Vision Insurance

Free Virtual Care – Telemedicine

401k with company match

Referral Bonuses

Qualifications

• 7+ years of high-level sales, business development or account management experience.
• Proven success in driving revenue growth.
• Knowledge of STAR ratings and HEDIS measures.

Responsibilities

• Drive payer and health plan business development.
• Negotiate and close complex contracts.
• Maintain compliance with regulations.

Skills

Negotiation

Communication

Relationship-building

Data-driven decision-making

Education

Bachelor's degree in business, healthcare, or related field

Tools

CRM tools

Microsoft Office Suite

Job description

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This range is provided by Clarest Health. Your actual pay will be based on your skills and experience — talk with your recruiter to learn more.

Base pay range

$165,000.00/yr - $185,000.00/yr

Additional compensation types

Annual Bonus

Direct message the job poster from Clarest Health

Clarest Health is a nationally recognized, technology driven provider of institutional pharmacy services operating in over 40 states. As a mission-driven pharmacy health expert, Clarest Health offers an end-to-end, patient-centered medication management solution to support patients in optimizing, accessing, and adhering to, their medication regimen. Our flexible, comprehensive services integrate technology, human engagement, and proven processes to advance patient health at every step while enabling our partners to achieve better business outcomes.

We are seeking a dynamic and results-oriented VP of Payer Solutions, to lead new business development efforts for our innovative medication management program and SaaS solutions. This role is critical to driving revenue growth and expanding our market presence with health plans and payers. The ideal candidate is a strategic sales leader with a track record of identifying, pursuing, and closing high-value partnerships in the healthcare or pharmaceutical sectors.

Location: Remote

Salary: starting at $165k + bonus and incentives

Travel: 50% +

Reports To: SVP, Diversified Services Sales

What We Offer:

· Comprehensive Medical, Dental and Vision Insurance (as low as $13.73/pay)

· Free Virtual Care – Telemedicine

· 401k with company match

· Referral Bonuses

· Make a difference in the lives of others!

· We are growing and that means more opportunities

Key Responsibilities:

• Own and drive payer and health plan focused business development by identifying, pursuing, and securing new partnerships to expand the reach of our medication management programs.
• Develop and execute strategic sales plans to expand market presence and increase SaaS product adoption.
• Cultivate high-level relationships with payer executives, demonstrating our solutions' ability to improve medication adherence and STAR/HEDIS performance.
• Conduct thorough market research to identify trends and opportunities that address payer pain points and highlight ROI.
• Collaborate with internal teams (marketing, clinical, product, and operations) to tailor solutions and ensure successful implementation.
• Negotiate and close complex contracts that align with company growth objectives.
• Stay ahead of industry trends and adjust sales strategies to maintain a competitive advantage.
• Ensure all interactions with payers are compliant with relevant regulations and guidelines.
• Must adhere to Clarest’s Code of Conduct, follow Clarest Compliance policies and procedures, and report any suspected violations of any federal or state laws to either their direct supervisor, Human Resources or the Compliance Officer

Qualifications:

• Bachelor's degree in business, healthcare, healthcare administration, or related field
• 7+ years of high-level sales, business development, or account management in healthcare, pharma, or payer-related industries.
• Proven success in driving revenue growth, securing partnerships, and launching SaaS-based healthcare solutions.
• Deep knowledge of STAR ratings, HEDIS measures, and the payer landscape.
• Valid Driver’s License (in good standing)
• In-depth knowledge of medication management programs

Skills + Abilities:

• Strong negotiation, communication, and relationship-building skills.
• Ability to manage complex sales cycles, from prospecting to contract execution.
• Self-motivated, goal-driven, and results-oriented, thriving in a fast-paced, high-growth environment.
• Proficiency in CRM tools, Microsoft Office Suite, and data-driven decision-making.
• Willingness and ability to travel 50%+.

Seniority level

• Seniority level

  Executive

Employment type

• Employment type

  Full-time

Job function

• Job function

  Business Development, Project Management, and Strategy/Planning

• Industries

  Hospitals and Health Care

Referrals increase your chances of interviewing at Clarest Health by 2x

Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

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