VP of Payor Partnerships

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.

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