This role is ideal for someone who has a passion for hunting for new clients, building long lasting trusted client relationships and following an established sales process. We offer a highly competitive compensation structure that rewards team member success!
The Clinical Sales Leader is responsible for driving growth by selling clinical solutions to U.S. health plans across Commercial, Medicare, and Medicaid lines of business. This role combines
deep knowledge of clinical /medical management processes within health plan operations with
enterprise sales leadership, serving as a trusted clinical advisor to payer executives while partnering closely with Clinical Practice, Solutions, and other support teams.
The role leads complex, consultative sales cycles involving utilization management (UM), care management (CM), population health, quality, and clinical operations solutions, supporting new logo acquisition.
Key Responsibilities Revenue & Growth Leadership - Own and drive clinical solutions sales to U.S. health plans, including pipeline development, deal strategy, and revenue closure
- Support other sales team membersin opening conversations with clinical leadership in client organizations as needed.
- Understand and articulate value from Sagility Clinical products, solutions and partnerships that can enhance deal closure
- Partner with clinical practice to proactively shape account strategies, target priority payers, and expand clinical service footprints
- Lead complex, multi-stakeholder sales pursuits from early discovery through contract execution for
- Utilization Management (prospective, concurrent, retrospective, appeals)
- Care Management & Population Health
- Quality, HEDIS, STARs, and regulatory compliance
- Clinical contact center and virtual clinical models
- Translate payer pain points (cost, quality, compliance, access) into differentiated, outcome-oriented clinical solutions in partnership with Clinical practice and Solutions.
- Articulate clinical value propositions tied to medical cost reduction, quality improvement, and member/provider experience
- Support marketing efforts by providing input, based on market indicators, on the development of services assuring pipeline growth.
- Remain well-informed of healthcare market needs in the industry and news with targeted prospects, changes in leadership and key investment areas.
- Track all sales efforts from lead through close and report the status of new business development efforts and pipeline growth.
Client Engagement & Executive Presence - Engage directly with healthcare executives (CMO, VP Medical Management, VP Clinical Operations, Quality Leaders) as a trusted clinical advisor
- Lead and support executive presentations, enable clinical deep dives, and due-diligence discussions
- Represent the organization at client meetings, conferences, and industry forums as a clinical sales leader
Education, Experience, and Skills: - Bachelor's Degree (preferable MBA / healthcare management)
- 10+ years of experience in healthcare, with a strong foundation in payer clinical operations
- 5+ years in clinical solution /product sales, consulting, or growth leadership serving U.S. health plans
- Proven success selling or supporting sales of UM, CM, population health, or clinical outsourcing solutions with Strong storytelling and presentation skills.
- Direct experience engaging payer executives and leading complex sales cycles under CMO (chief medical officer or VP of clinical strategy or VP of clinical operations in health plans
- Proficient in use of PC applications software: SalesForce, MS-Word, MS Excel, PowerPoint, etc.
- Excellent communication skills, both written and verbal.
- Strategic, consultative mindset with a bias toward outcomes and execution
Clinical & Technical Expertise - Strong understanding of:
- Managed care workflows and clinical decisioning
- NCQA, URAC, CMS, and state regulatory requirements
- Value-based care and medical cost containment strategies
- Ability to have opening conversations around medical cost, clinical quality, regulatory mandates and operational performance metrics
Success Measures - Revenue growth from new and existing health plan clients- $5M or above per annum
- Win rates on clinical RFPs and strategic pursuits
Location:Work@Home USAUnited States of America
