Note: The job is a remote job and is open to candidates in USA. Vālenz Health® is a healthcare platform aimed at simplifying healthcare for employers, payers, providers, and members. The role of SVP, Sales - Payment Integrity Solutions involves driving enterprise growth by developing strategic sales plans and engaging with senior payer executives to enhance operational efficiency and claims accuracy.
Responsibilities
- Develop and execute a strategic territory plan focused on acquiring large national and regional health plans and TPAs, with an emphasis on net-new logo growth and enterprise expansion
- Identify, qualify, and close complex enterprise opportunities for Valenz Payment Integrity solutions, including claims review, bill review, and cost containment services
- Own the full enterprise sales cycle from prospecting and discovery through proposal development, contract negotiation, and implementation handoff
- Maintain disciplined pipeline management, accurate forecasting, and detailed CRM documentation to ensure revenue visibility and predictability
- Lead consultative sales engagements aligned to enterprise priorities such as medical cost reduction, claims accuracy, regulatory compliance, and operational efficiency
- Drive value-based sales discussions supported by analytics, ROI modeling, and competitive differentiation within the payment integrity landscape
- Navigate multi-stakeholder buying environments across Claims, Finance, Actuarial, Network Management, Operations, Procurement, and Executive leadership
- Develop and deliver executive-level presentations, RFP responses, and finalist pitches that clearly articulate measurable financial impact
- Build and cultivate executive-level relationships (CFO, COO, CIO, SVP of Claims, VP of Network, and other senior leaders) to position Valenz as a strategic partner
- Partner with clinical, analytics, legal, finance, product, and operations teams to design customized solutions that meet complex client requirements
- Identify cross-sell and upsell opportunities within enterprise clients in partnership with internal stakeholders
- Monitor industry trends, regulatory changes, and competitive activity within the health plan and TPA markets to inform sales strategy
- Represent Valenz at national conferences, industry forums, and executive networking events to enhance brand presence and generate strategic opportunities
- Serve as a market-facing subject matter resource on payment integrity, bringing insight and best practices to sophisticated payer organizations
Skills
- 10+ years of enterprise sales experience within healthcare, with a focus on complex solution selling into health plans and/or TPAs
- Proven success closing large, multi-year enterprise contracts in payment integrity, claims review, bill review, or broader medical cost containment solutions
- Demonstrated ability to navigate formal RFP processes, procurement negotiations, and complex contracting environments
- Established executive-level relationships and credibility engaging senior payer leaders (CFO, COO, CIO, SVP of Claims, and related roles)
- Strong understanding of payer operations, claims workflows, reimbursement models, and medical cost drivers
- Experience managing long, consultative sales cycles across multi-stakeholder buying groups
- Experience selling performance-based or shared-savings arrangements
- Knowledge of CMS guidelines, commercial claims adjudication processes, or clinical audit methodologies
- Experience selling pre-pay and post-pay payment integrity solutions
- Familiarity with stop-loss dynamics, reference-based pricing, or value-based plan designs
Benefits
- Generously subsidized company-sponsored Medical, Dental, and Vision insurance, with access to services through our own products, Healthcare Blue Book and KISx Card.
- Spending account options: HSA, FSA, and DCFSA
- 401K with company match and immediate vesting
- Flexible working environment
- Generous Paid Time Off to include vacation, sick leave, and paid holidays
- Employee Assistance Program that includes professional counseling, referrals, and additional services
- Paid maternity and paternity leave
- Pet insurance
- Employee discounts on phone plans, car rentals and computers
- Community giveback opportunities, including paid time off for philanthropic endeavors
Company Overview