Description:
Our Mission is to improve the quality of life for all people we serve. The Vice President, Business Development, Commercial Health (IRO) is responsible for leading strategic growth initiatives and driving revenue across the health plan and hospital markets. This executive role focuses on expanding the company’s independent review and related healthcare solutions by cultivating new partnerships, strengthening existing client relationships, and positioning the organization as a trusted, high-quality partner for utilization management, independent medical review, and compliance-driven services.
The VP will develop and execute go-to-market strategies that promote operational excellence, client satisfaction, and sustainable growth in the commercial health sector.
Key Responsibilities
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Develop and execute a strategic business development plan targeting commercial health plans, hospitals, and health systems.
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Build, manage, and expand relationships with decision-makers across payer and provider organizations.
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Lead the creation of tailored proposals, service offerings, and pricing strategies aligned with client needs and regulatory standards.
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Oversee RFP responses, sales presentations, and contract negotiations for health plan and hospital clients.
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Monitor market trends, payer-provider dynamics, and policy changes impacting independent review and utilization management services.
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Collaborate with internal teams—including operations, clinical, compliance, and marketing—to ensure seamless delivery and exceptional client experience.
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Represent the company at industry conferences, trade associations, and client events to strengthen market presence and thought leadership.
Requirements:
- Minimum of 5 years of experience in healthcare sales or business development, preferably in independent review, utilization management, or related payer/provider services.
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Strong understanding of health plan operations, medical management programs, regulatory compliance, and the commercial payer landscape.
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Proven ability to develop strategic relationships with health plans and hospital executives.
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Bachelor’s degree required; master’s degree in business, healthcare administration, or related field preferred.
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Excellent communication, negotiation, and presentation skills.
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Demonstrated success leading growth strategies in a complex, service-oriented healthcare environment.
Additional Information
- Travel: Yes, up to 70% of the time.
- Location: Remote, with flexibility based on company policies and business needs.
Position Demands
The physical demands described are representative of those that must be met by a team member to successfully perform the essential functions of the job and are as follows.
- Sit or stand to complete assigned work on a computer and with other standard office technology. An ergonomic workspace is provided for both options.
- Use hands and fingers to operate a keyboard, mouse, and other applicable office equipment.
- Communicate clearly and effectively in person, over the phone, and via email.
- Occasionally stand, walk, reach with hands and arms, and stoop or kneel as applicable.
- Occasionally lift and/or move up to 20 pounds as applicable.
- Specific vision abilities required include close vision, distance vision, and the ability to focus.
- The work environment is a typical office setting with low to moderate noise levels.
Reasonable accommodation may be made to enable individuals with disabilities to perform these functions.
Equal Employment Opportunity (Our EEO Statement)
The Company is a veteran-owned Company and provides Equal Employment Opportunities (EEO) to all Team Members and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender (including gender identity), pregnancy, childbirth, or a medical condition related to pregnancy or childbirth, national origin, age, disability, genetic information, status as a covered veteran in accordance with applicable federal, state, and local laws, or any other characteristic or class protected by law and is committed to providing equal employment opportunities. The Company complies with applicable state and local laws governing non-discrimination in employment. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, promotion, discharge, pay, fringe benefits, membership, job training, classification, and other aspects of employment. Team Members who believe they are the victims of discrimination should immediately report the concern to their Supervisor and the Human Resources Department. Discrimination and harassment will not be tolerated.
We are committed to creating an inclusive environment for all Team Members and applicants. We value the unique skills and experiences that veterans bring to our team and encourage veterans to apply.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of our personnel. All company team members may be required to perform duties outside of their normal responsibilities from time to time, as needed.
