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[Remote] SVP, Sales - Payment Integrity Solutions

Work from home Full-time role Hiring

Note: The job is a remote job and is open to candidates in USA. Vālenz Health is a platform aimed at simplifying healthcare, providing integrated solutions to improve costs and quality. The Sr. Sales Executive will drive enterprise growth of Payment Integrity solutions through strategic sales planning and consultative engagements with senior payer executives.

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

  • Vālenz Health® is the platform to simplify healthcare – the destination for employers, payers, providers, and members to reduce costs, improve quality, and elevate the healthcare experience. It was founded in 2004, and is headquartered in Radnor, PA, US, with a workforce of 501-1000 employees. Its website is https://www.valenzhealth.com.
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