Jobs at Vatica Health

Owns enterprise payer-facing value architecture, including ROI methodologies, executive business review frameworks, value narratives, case studies, and defensible analytics-backed claims. Synthesizes Medicare Advantage, risk adjustment, quality, regulatory, and market changes into strategic positioning. Partners with Sales, Customer Success, Marketing, and Data & Analytics to enable consistent value demonstration, executive storytelling, and customer engagement. Acts as a trusted advisor to payer executives and drives framework adoption through cross-functional influence.

Leads health plan and payer sales for risk adjustment and platform solutions across a defined territory. Responsibilities include exceeding bookings, revenue, and margin targets; developing sales strategies; building executive relationships; prospecting new accounts; negotiating complex contracts; managing RFI/RFP processes; supporting client meetings and trade shows; and coordinating cross-functional initiatives. Requires senior-level health plan sales experience, strong communication and presentation skills, complex-deal expertise, and willingness to travel 50–75%.

Implements, optimizes, and supports healthcare IT solutions for clients. Analyzes healthcare data, translates business requirements into technical solutions, leads deployments and integrations, provides training and troubleshooting, manages client escalations, and monitors system performance. Requires strong knowledge of healthcare workflows, HL7, FHIR, HIPAA, data analysis, and client-facing technical support.

Manages healthcare client portfolios through onboarding, implementation, delivery, retention, and growth. Builds trusted client relationships, leads cross-functional and vendor teams, develops implementation and communication plans, tracks account metrics, manages risks, delivers training, prepares executive presentations, and drives client satisfaction. Requires healthcare experience, specifically Risk Adjustment and Quality of Care, along with complex project leadership, data analysis, strategic communication, and weekday travel.

Own the design and delivery of incentive program management and provider activation capabilities for a value-based care platform. Define detailed workflows, data models, business rules, specifications, and edge cases; manage backlogs and delivery; collaborate with engineers, providers, practice staff, and senior stakeholders; and operate effectively amid ambiguity with globally distributed teams.

Lead platform strategy and roadmap for a value-based care system supporting risk adjustment, quality measurement, and patient care workflows. Own platform migrations and transition planning, coordinate dependencies across multiple engineering teams, resolve technical and product ambiguity, review data contracts and technical tradeoffs, and validate solutions with clinical and administrative users. Communicate decisions, risks, and progress to stakeholders while partnering with globally distributed engineering teams.

Directs corporate compliance and audit programs, including internal and vendor audits, risk assessments, corrective actions, conflict-of-interest monitoring, third-party assurance, SOC 2 and HITRUST support, external audits, insurance, and corporate registrations. The role develops policies, coordinates cross-functional compliance initiatives, prepares reports, communicates with stakeholders, and manages special projects.

Owns the Risk Adjustment domain across the solution portfolio, including roadmap strategy, solution standards, portfolio gap analysis, pilots, market intelligence, regulatory monitoring, value narratives, and cross-segment consistency. The director influences Product, Technology, Sales, Customer Success, and Services while driving measurable product-market fit, commercial outcomes, and domain integrity.

Leads the front end of the healthcare payer/provider growth pipeline by identifying and validating new markets and capabilities. Responsibilities include opportunity screening, pipeline prioritization, TAM/SAM/SOM modeling, business-case development, competitive intelligence, market validation, build-versus-buy recommendations, and board-level presentations. The Director secures investment approval and hands approved opportunities to the Solutions team for delivery while supporting the transition.

Recruits and manages healthcare practices and providers for Vatica Health’s clinical service programs. Secures provider contracts, develops and maintains network relationships, collaborates with health plans and internal clinical and operations teams, analyzes participation and program performance data, and recommends engagement strategies. The role also supports sales campaigns, market development, onboarding and training, and provider engagement projects across assigned territories.

Lead and coordinate EMR integration implementations (SMART-on-FHIR, HL7/FHIR, proprietary APIs, CCDA) with providers and partners, manage project plans, testing, training, issue resolution, and stakeholder communication to ensure successful go-lives.

Lead product strategy, roadmap, and delivery for Risk & Quality AI solutions. Operationalize LLM/NLP/OCR/agent workflows, define evaluation and monitoring, ensure responsible AI and regulatory compliance, partner with engineering/ML/clinical/compliance, and mentor a product team to deliver measurable client impact.