Sales Director - Payer Solutions Job at Carex Consulting Group (Boston)

Director - Healthcare & Generative AI Solutions Lead

We are looking for an executive-level leader based in India who deeply understan...

Location

India , Ahmedabad

Salary:

Not provided

Dash Technologies

Expiration Date

Until further notice

Requirements

10–15 years of experience in IT services / IT consulting
Minimum 5–7 years focused on the US healthcare market (providers, payers, MedTech/HealthTech)
Hands-on experience with Generative AI in a business / product / solution context is essential
Strong background in at least one of: Healthcare digital transformation, clinical workflows, RCM, patient engagement, care management, or healthcare analytics
Proven track record building or productizing solutions/accelerators in an IT services environment
Comfortable interacting with CXO/VP-level stakeholders in US healthcare organizations and explaining AI concepts in simple business language
Understanding of US healthcare regulations and standards (HIPAA, PHI handling)
Experience working with distributed/global teams with some overlap to US time zones
Excellent English communication – written, verbal, and presentation

Job Responsibility

Analyze the US healthcare market and identify high-value problems within healthcare customer segments
Design and build AI-powered solution accelerators (LLM-based tools, workflows, reference architectures, PoCs)
Conduct deep research on the US healthcare ecosystem with a lens on where AI can create value
Analyze trends in healthcare + AI
Map and prioritize opportunities based on revenue potential, feasibility, and alignment with our capabilities
Run structured discovery with customers/prospects and internal stakeholders
Identify concrete generative AI use cases in healthcare
Work with technical/AI teams to design and build accelerators
Define the architecture at a high level and ensure alignment with compliance standards
Ensure accelerators are repeatable, configurable, and implementable across multiple clients

Fulltime

Director - Health System Intelligence

GlobalData is an information services business on a mission to help our clients ...

Location

United States , NYC

Salary:

175000.00 - 220000.00 GBP / Year

360 Resourcing Solutions

Expiration Date

Until further notice

Requirements

10+ years' experience in health policy, health systems, workforce, health economics, or related fields
Master's or doctorate in public health, health policy, health economics, business, or a related discipline
Deep understanding of the U.S. healthcare ecosystem, including payers, providers, health systems, and patients
Proven success managing complex consulting engagements for government, healthcare, or association clients
Strong record of publications, white papers, reports, or thought leadership
Excellent communication and presentation skills for technical and non-technical audiences

Job Responsibility

Define and execute the strategic vision for the Health System Intelligence practice, aligning service offerings with evolving client needs and market trends
Set and uphold quality standards for all analytical work products, ensuring methodological rigor and policy relevance
Integrate GlobalData’s proprietary data assets, simulation models, and databases to differentiate client engagements
Collaborate with leaders across GlobalData’s Life Sciences vertical to develop integrated, multi-disciplinary solutions for complex client challenges
Lead, mentor, and develop a team of consultants, fostering a culture of analytical excellence and continuous learning
Oversee recruiting, onboarding, and professional development to build and sustain practice capacity
Promote a collaborative environment that encourages knowledge sharing with colleagues in sales, research, and client success
Serve as senior relationship manager for government, association, and health system clients, building trusted long-term partnerships and ensuring client satisfaction and retention
Engage clients at the executive level to understand strategic priorities, define project objectives, and ensure delivery of high-value insights
Lead identification and pursuit of new business opportunities

What we offer

Training and coaching that support in building a long-term career
LinkedIn Learning and ongoing Learning and Development opportunities
Competitive compensation
Generous PTO policy
Health, Dental and Vision insurance
Pet Insurance
Company sponsored Life insurance, AD&D, STD, and LTD
Maternity and Paternity leave
401k Match
Corporate gym rates and other discounts

Fulltime

BPO Associate Director

The BPO Associate Director will lead sales enablement and support for medical co...

Location

India , Coimbatore

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Healthcare Administration, Life Sciences, or related field (Master’s preferred)
10+ years of experience in US healthcare domain with strong exposure to medical coding services
Proven track record in sales support, pre-sales, or business development within healthcare outsourcing
In-depth knowledge of ICD-10, CPT, HCPCS coding standards and compliance frameworks
Excellent communication, presentation, and stakeholder management skills
Strong analytical and problem-solving abilities.

Job Responsibility

Lead sales enablement and support for medical coding services
Partner with the sales team to develop compelling proposals, RFP responses, and presentations for medical coding services
Provide subject matter expertise on US healthcare coding standards, compliance, and industry best practices
Assist in pricing strategies, cost estimation, and solution design for prospective clients
Participate in client calls and meetings to articulate service offerings and address technical queries
Build strong relationships with key stakeholders to understand their needs and tailor solutions accordingly
Analyze industry trends, competitor offerings, and regulatory changes to support strategic decision-making
Identify new opportunities for growth within the medical coding domain
Mentor and guide the sales support team to ensure timely and accurate deliverables
Collaborate with operations, quality, and compliance teams to align service capabilities with client expectations

Fulltime

Senior Director, Access Strategy, Dupixent Rhinology-Gastroenterology and Allergy

Join the team transforming care for people with immune challenges, rare diseases...

Location

United States , Cambridge, MA

Salary:

206250.00 - 297916.66 USD / Year

Sanofi

Expiration Date

June 26, 2026

Requirements

Bachelor’s degree required
advanced degree (MBA, M.S., PharmD, PhD) preferred
10+ years of experience in market access strategy, account management, payer marketing, contracting, pricing, etc.
7 years in a leadership role
Proven track record of managing teams and leading strategic initiatives across complex therapeutic areas in the access/payer landscape
Solid understanding of strategic pricing and commercial contracting strategy, process and rules
Strong strategic thinking and analytical mindset, with a focus on market access, financial optimization, and risk management
Strong leadership skills with the ability to build, motivate, and develop high-performing teams
Excellent communication and presentation skills, with the ability to influence and negotiate with senior executives, payers, and external stakeholders
High degree of business acumen, with the ability to balance strategic objectives with financial imperatives

Job Responsibility

Collaborate with the General Manager & senior leadership to set strategic direction for market access, pricing, channel strategy, and reimbursement
Develop and execute a robust, evidence-based market access strategy that maximizes payer adoption and patient access to critical therapies
Lead the creation of value propositions that demonstrate the economic and clinical benefits of products to payers, healthcare providers, and stakeholders
Develop and communicate robust market access strategies and plans, including clear articulation of the brands’ value story, and help to integrate them into the overall brand plan
Plan and manage the Dupixent payer brand budget
Partner with HEVA business partners to inform real world evidence generation and ensure health economic activities are in place to meet the needs of payers
Lead efforts to anticipate and adapt to changes in the regulatory and reimbursement landscape, ensuring compliance and sustained market access
Identify gaps in current market access understanding and develop plans to gain direct payer insights through primary research, advisory boards, etc., and work with vendors to implement projects in a timely, impactful manner
Lead pull through opportunities and execution of pull through strategy for all channels and geographies based upon formulary position and opportunity
Provide strategic and executional support for product/indication launches, including market research, pricing strategy, contracting, and messaging to ensure successful market entry and adoption for inline and pipeline assets

What we offer

Bring the miracles of science to life alongside a supportive, future-focused team
Discover endless opportunities to grow your talent and drive your career, whether it’s through a promotion or lateral move, at home or internationally
Enjoy a thoughtful, well-crafted rewards package that recognizes your contribution and amplifies your impact
Take good care of yourself and your family, with a wide range of health and wellbeing benefits including high-quality healthcare, prevention and wellness programs and at least 14 weeks’ gender-neutral parental leave

Fulltime

Strategic Account Executive, Healthcare Solutions

As a Strategic Account Executive, Healthcare Solutions, you will own a small num...

Location

United States

Salary:

150000.00 - 200000.00 USD / Year

Distyl AI

Expiration Date

Until further notice

Requirements

8–12+ years of enterprise sales experience in AI, SaaS, cloud or data platforms
Proven success as a Majors / Strategic Account Executive or Account Director closing $1M+ ACV deals
Established credibility with enterprise buyers in enterprise healthcare buyers, with the ability to leverage prior relationships to accelerate early pipeline development
Experience selling into payers, providers, life sciences, or healthcare services organizations
Strong track record of new logo acquisition and expansion in regulated enterprise environments
Comfortable selling defined solutions that combine product, platform and implementation, not generic consulting
Exceptional discovery, storytelling, and negotiation skills
Able to operate independently while collaborating closely with founders and cross-functional teams

Job Responsibility

Own and close complex, multi-stakeholder enterprise deals for Distyl’s healthcare solution offerings
Lead long-cycle sales processes involving Clinical Ops, Medical Directors, Revenue Cycle, IT, Data, Security and Compliance stakeholders
Sell solutions tied to measurable outcomes such as faster decision turnaround, reduced administrative burden, improved utilization accuracy, and earnings impact
Position and sell a defined set of healthcare solutions, including: Prior authorization decisioning and automation, Utilization management and policy reasoning, Clinical and administrative workflow orchestration, Judgment-heavy operational decisioning (e.g., coverage determination, exceptions handling), Expansion use cases across adjacent clinical or administrative workflows
Guide customers through structured discovery that maps healthcare pain points to specific Distyl solution offerings, avoiding open-ended or bespoke scoping
Build trusted relationships with senior healthcare executives (SVP/VP Clinical Ops, Medical Directors, COO, CIO, Chief Digital/Data Officers)
Run executive-level conversations focused on outcomes, ROI, operational reliability and governance, not models or tooling
Shape solution scope, success metrics, and commercial terms in partnership with Solutions, Product, and Implementation teams
Navigate procurement, security, compliance and legal processes to close high-ACV, multi-year healthcare solution deals
Expand strategic accounts by selling additional healthcare solution modules and follow-on use cases

What we offer

100% covered medical, dental, and vision for employees and dependents
401(k) with additional perks (e.g., commuter benefits, in‑office lunch)
Access to state‑of‑the‑art models, generous usage of modern AI tools, and real‑world business problems
Ownership of high‑impact projects across top enterprises
A mission‑driven, fast‑moving culture that prizes curiosity, pragmatism, and excellence

Fulltime

BPO Associate Director

The Associate Director in BPO will lead sales enablement and support for medical...

Location

India , Chennai

Salary:

Not provided

NTT DATA

Expiration Date

Until further notice

Requirements

Bachelor’s degree in Healthcare Administration, Life Sciences, or related field (Master’s preferred)
10+ years of experience in US healthcare domain with strong exposure to medical coding services
Proven track record in sales support, pre-sales, or business development within healthcare outsourcing
In-depth knowledge of ICD-10, CPT, HCPCS coding standards and compliance frameworks
Excellent communication, presentation, and stakeholder management skills
Strong analytical and problem-solving abilities

Job Responsibility

Partner with the sales team to develop compelling proposals, RFP responses, and presentations for medical coding services
Provide subject matter expertise on US healthcare coding standards, compliance, and industry best practices
Assist in pricing strategies, cost estimation, and solution design for prospective clients
Participate in client calls and meetings to articulate service offerings and address technical queries
Build strong relationships with key stakeholders to understand their needs and tailor solutions accordingly
Analyze industry trends, competitor offerings, and regulatory changes to support strategic decision-making
Identify new opportunities for growth within the medical coding domain
Mentor and guide the sales support team to ensure timely and accurate deliverables
Collaborate with operations, quality, and compliance teams to align service capabilities with client expectations
Ensure all proposals and solutions adhere to HIPAA, CMS, and other regulatory requirements

Customer Experience Manager

The Customer Experience Manager will be a liaison- sharing metrics and reporting...

Location

United States , Mt. Pleasant

Salary:

45000.00 - 62000.00 USD / Year

ResMed

Expiration Date

Until further notice

Requirements

Passionate about customer service, with strong problem-solving skills focused on identifying and putting in place solutions for customers
Computer literate and proficient in using MS office programs
Analytical Thinker: Ability to solve issues quickly and effectively through a methodical, systematic approach
Must have excellent attention to detail and an understanding of how to investigate and troubleshoot issues and find workarounds
The ability to work in a fast-paced environment
Strong ethics and a high level of personal and professional integrity
An effective communicator with strong oral, written, and persuasive skills and the capability to deal with people at all levels in the organization
Exceptional organizational skills with a high level of attention to detail and the ability to multitask
Self-starter, results-driven, highly motivated, high energy
Brightree software and/or DME Billing Experience

Job Responsibility

Build and foster strong relationships with customers and business partners
Onboarding new customers to RCM which includes organizing all onboarding calls and focused calls with Operational teams and providing necessary Go Live details to the Analytics team for customer setup
Manages all email communication and Salesforce cases created by customer and RCM Operations teams regarding assigned customer base
Performs Monthly Business Analysis around RCM related performance for assigned customer base: Including but not limited to- Denials Analysis/Trending, Outstanding Sales Orders, Unposted Deposits, AR Aging, AR Activity Trends
Attend internal Operations meetings with teams regarding outstanding issues/questions regarding assigned customer base
Keeps RCM Enabled Payer List Updated Monthly
Provides leadership and motivation by addressing clear expectations, communicating specific performance feedback to the Operations teams, to ensure timely and thorough performance reviews using internal measurement/monitoring standards
Assist Customers and RCM Operations with End of Month Processes to ensure timely closure of customer GL Periods
Collaborates with worldwide resources to ensure effective knowledge, information sharing, and quick resolution of service performance issues
Collaborates with all departments on any process gaps and initiates discussions for resolution

What we offer

comprehensive medical, vision, dental, and life, AD&D, short-term and long-term disability insurance, sleep care management, Health Savings Account (HSA), Flexible Spending Account (FSA), commuter benefits, 401(k), Employee Stock Purchase Plan (ESPP), Employee Assistance Program (EAP), and tuition assistance
Employees accrue fifteen days Paid Time Off (PTO) in their first year of employment, receive 11 paid holidays plus 3 floating days and are eligible for 14 weeks of primary caregiver or two weeks of secondary caregiver leave when welcoming new family members

Fulltime

Account Executive, Market Intelligence (Payer)

Arcadia is the only healthcare data and software company dedicated to healthcare...

Location

Salary:

Not provided

The Muse

Expiration Date

Until further notice

Requirements

Bachelor’s degree and/or equivalent experience in business, healthcare administration, engineering, or a related discipline
A minimum of 5 years’ experience with a demonstrated track record of accomplishments in provider tech sales and business expansion
Within the Payer space, have a broad network of relationships Commercial, Regional, Health Plans and well known in the payor community. Experience consistently securing multi-year, 6-7 figure contracts with Provider organizations
Excellent presentation, written and verbal communication skills
Must be able to build and maintain strong relationships with C-level information technology executives, physicians, executives, leaders and staff at health plans, health systems, and healthcare provider groups
Proven results running long sales cycles (6-18 months) in enterprise settings
A hunter’s mentality with experience owning the end to end sales cycle from prospecting to closed business
Excellent communicator with the ability to persuasively articulate competitive advantages of Arcadia’s research data solutions
Strong knowledge base and stays abreast of major healthcare issues and trends in data analytics and value-based care
Must be able to work within Arcadia’s sales process to manage a pipeline of qualified sales opportunities across an assigned market and accurately project total contract value, revenue spread, and close dates for those opportunities

Job Responsibility

Generating new business opportunities by identifying, engaging, and closing new accounts in the Payor Healthcare Market (Commercial and Public Payors) with national and regional reach
Own the end-to-end sales cycle from prospecting to close of business
Conduct research to expand prospect list using MMIT, LinkedIn Sales Navigator, and other methods
Identify and develop leads and opportunities from multiple sources including prospect lists, discovery, and individual research
Build and cultivate prospect relationships by initiating communications and conducting follow-up qualification to move opportunities into the sales funnel
Perform thorough needs assessment and identify prospects pain points to determine how Arcadia’s solutions address those needs
Own and drive contract creation, legal review, and signature process with internal operations and key client executives
Identify and assist in resolving challenges that could prevent account retention, expansion, and referrals
Build relationships with C-level and purchasing executives at key prospects in support of sales and growth activities
Collaborate effectively with internal stakeholders from Product Management, Sales Operations, Operations and Finance throughout the course of each deal

What we offer

Pet Insurance
Health Insurance
Dental Insurance
Vision Insurance
FSA
HSA
HSA With Employer Contribution
Life Insurance
Short-Term Disability
Long-Term Disability

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Sales Director - Payer Solutions

Job Description

Job Responsibility

Requirements

What we offer

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