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Job Title: Sales & Business Development Manager - healow Insights

Position Summary

Healow Insights is seeking a highly motivated and results-driven Sales & Business Development Manager with deep expertise in Risk Adjustment, Quality Programs, HEDIS®, Stars, Value-Based Care and Health Plan Sales. The ideal candidate will be responsible for driving market expansion, developing strategic partnerships, generating new business opportunities, and selling healow Insights solutions to health plans, ACOs, MSOs, CINs, and value-based care entities.

The individual will work closely with executive leaders, product teams, and prospective clients to demonstrate how healow Insights improves quality performance, closes care gaps, optimizes risk capture, and enhances value-based care outcomes.

Key Responsibilities:

Business Development & Sales

• Develop and execute strategic sales plans to achieve revenue and growth targets.
• Identify, qualify, and pursue new opportunities with health plans, provider groups, ACOs, CINs, FQHCs, and integrated delivery networks.
• Build and maintain executive-level relationships with C-suite leaders, medical directors, quality executives, and population health stakeholders.
• Own the full sales cycle, including prospecting, discovery, solution presentations, proposal development, contract negotiations, and deal closure.
• Collaborate with marketing and product teams to develop go-to-market strategies and sales initiatives.
• Maintain a robust sales pipeline and provide accurate forecasting.

Health Plan & Payer Strategy

• Develop relationships with Medicare Advantage, Medicaid, ACA, Commercial, and Dual-Eligible health plans.
• Position healow Insights solutions to address payer challenges related to quality improvement, member engagement, risk adjustment, and value-based contracts.
• Understand health plan priorities associated with CMS Stars, HEDIS, CAHPS, and quality incentive programs.
• Support partnership development opportunities between health plans and provider organizations.

Risk Adjustment & Quality Programs

• Leverage expertise in Risk Adjustment and RAF optimization to identify client opportunities.
• Consult with prospects on strategies to improve documentation, coding accuracy, and risk score performance.
• Demonstrate value propositions related to:
  • Prospective and retrospective risk adjustment
  • Suspect condition management
  • Hierarchical Condition Categories (HCC)
  • Clinical documentation improvement
  • Quality measure performance
  • Care gap closure
  • Population health analytics
• Educate clients on best practices for quality improvement initiatives and value-based performance programs.

Solution Consulting

• Conduct product demonstrations and executive presentations.
• Translate client business challenges into customized healow Insights solutions.
• Collaborate with implementation and customer success teams to ensure successful client onboarding and adoption.
• Participate in industry conferences, trade shows, and networking events to promote healow Insights.

Required Qualifications

• Bachelor's degree in business, Healthcare Administration, Public Health, or related field.

5+ years of experience in the following:

• Healthcare sales and business development experience.
• Proven experience selling to:
  • Health Plans
  • ACOs
  • MSOs
  • CINs
  • Value-Based Care Organizations
• Strong understanding of:
  • Risk Adjustment
  • HCC Coding
  • Medicare Advantage
  • Medicaid Managed Care
  • Quality Programs
  • Population Health
  • Value-Based Care
• Demonstrated success meeting or exceeding sales quotas.
• Experience managing complex enterprise sales cycles.
• Excellent communication, presentation, and negotiation skills.
• Domestic Travel up to 50%.

Preferred Qualifications

• Experience with HEDIS®, CMS Stars, CAHPS, and quality reporting programs is preferred.
• Experience selling healthcare analytics, population health, care management, engagement, or quality improvement solutions is preferred.
• Existing relationships within health plans and provider organizations.
• Knowledge of EMR/EHR platforms such as eClinicalWorks, Epic, Cerner, Athenahealth, and NextGen.
• Experience selling data analytics, healthcare technology, or data solutions is preferred.

Key Competencies

• Strategic Selling
• Business Development
• Relationship Management
• Executive Presence
• Consultative Solution Selling
• Healthcare Analytics
• Risk Adjustment Expertise
• Quality Program Knowledge
• Contract Negotiation
• Cross-functional Collaboration
• Market Expansion

Success Metrics

• New Annual Recurring Revenue (ARR) generated
• Qualified pipeline creation and conversion rates
• Number of new health plan and provider partnerships established
• Expansion of existing accounts
• Achievement of quarterly and annual sales targets
• Client adoption and retention rates
• Contribution to strategic growth initiatives

Why Join healow Insights?

Join a fast-growing healthcare technology organization focused on helping health plans and provider organizations improve risk capture, quality performance, patient outcomes, and value-based care success through innovative analytics, engagement, and population health solutions. You will play a critical role in shaping the future growth of healow Insights and expanding its impact across the healthcare ecosystem.

Salary Range - $100,000 - $140,000 USD

This role will receive a competitive salary and benefits. The salary for employees hired into this role will be aligned with the range above, exclusive of potential bonuses. If you are hired, your base salary will be determined based on factors such as professional background, skills, education, and experience.

eClinicalWorks offers a rich suite of benefits which include the following: eighteen days of Paid Time Off per year which scales based on tenure; nine Paid Holidays and one Floating Holiday; insurance for eligible employees which includes medical, dental, vision, basic life, short term disability, long term disability, business travel accident, and accidental death and dismemberment.

As well, we offer a 401(k) plan with a Company safe harbor contribution; Flexible Spending Account for Health Care and Dependent Care for eligible employees; limited personal leave; additional voluntary benefits, including additional insurance (hospital indemnity, critical illness, accident, supplemental life, short term disability buy up, pet), genetic testing, legal plan, and supplemental accidental death and dismemberment; and an annual discretionary bonus for eligible employees.

eClinicalWorks is an Equal Opportunity Employer. We respect and seek to empower each individual and support the diverse cultures, perspectives, skills, and experiences that bring us together and help create a healthy world.