The Vice President, Payor Partnerships will own MD Ally's payor growth strategy and execution across Commercial, Medicare, and Medicaid. They executive will build the payor pipeline, secure in-network agreements and reimbursement, and convert opportunities into signed contracts.
MD Ally integrates with public-safety systems to redirect eligible non-emergency 9-1-1 callers to lower-cost care, creating a new clinical intervention point before a member enters the highest-cost transportation and emergency department pathway. A successful candidate must be both an accomplished seller and an effective educator, able to translate the value proposition for senior health plan executives: avoided ambulance transport and ED utilization, measurable savings, and alignment with total-cost-of-care priorities. This leader will build internal coalitions.
KEY OBJECTIVES
- Contract and Reimbursement Growth: Secure in-network provider agreements and reimbursement arrangements.
- Pipeline Conversion: Build a qualified payor pipeline and advance opportunities from initial education through negotiation, contracting, and revenue activation.
- Executive Coalition Building: Create support across complex payor organizations.
- Value Story: Use MD Ally's clinical, utilization, and economic evidence to present a clear case for lowering the cost of care.
RESPONSIBILITIES
- Own the end-to-end payor partnership and sales process, from account prioritization and initial outreach through executive alignment, contracting, reimbursement, and launch readiness.
- Develop and execute a market plan for Commercial, Medicare, and Medicaid payors.
- Build relationships with network executives, actuaries, finance leaders, and business owners with contracting authority.
- Identify the decision process inside each payor and build the cross-functional coalition required to move an opportunity.
- Negotiate in-network provider contracts, reimbursement terms, and related commercial agreements in coordination with MD Ally leadership and internal subject-matter experts.
- Anticipate contracting delays and common payor obstacles; establish a plan to resolve each issue before it stalls the opportunity.
- Translate payor feedback into actionable recommendations for market expansion, contracting strategy, analytics, implementation, and the ongoing development of the payor value proposition.
- Measure performance against executed contracts, reimbursement activation, pipeline conversion, booked revenue, and progress within priority states.
BASIC QUALIFICATIONS
- Substantial senior-level experience selling to and contracting with U.S. health plans or other risk-bearing healthcare organizations.
- A demonstrated record of closing complex payor agreements and converting lengthy enterprise sales processes into signed, revenue-producing contracts.
- Direct experience securing in-network provider arrangements, reimbursement, or comparable payor contracting structures for a clinical or tech-enabled care model.
- Working knowledge of Commercial, Medicare, and Medicaid lines of business and the different priorities, stakeholders, and contracting considerations within each.
- Experience with fee-for-service reimbursement; exposure to per-member-per-month or value-based arrangements is strongly preferred.
- Relevant experience in emergency department diversion, avoidable utilization, mobile integrated health, community paramedicine, telehealth, or another tech-enabled clinical service is highly valued.
- An established payor network that can accelerate access to senior decision makers in priority markets.
- Experience in an entrepreneurial or growth-stage healthcare company.
LEADERSHIP CAPABILITIES
- Executive presence and gravitas to lead discussions with senior payor stakeholders, challenge assumptions constructively, and maintain momentum through difficult negotiations.
- A persuasive, adaptable communication style that can make an unfamiliar care model understandable and relevant to different payor audiences.
- Strong coalition-building skills and the judgment to identify champions, blockers, decision makers, and the sequence required for approval.
- Commercial discipline, including account planning, qualification, forecasting, next-step ownership, and early identification of risk.
- Autonomy, sound judgment, and the ownership mindset required for the Founder and CEO to delegate payor opportunities with confidence that they will reach conclusion.
TRAVEL
- Must be willing to travel as needed to develop payor relationships and support business growth across MD Ally’s priority markets.
COMPENSATION PLAN
- Highly Competitive Base Salary based on salary history and experience level
- Excellent Benefits Plan
- High Growth Opportunity
- Great Work Environment