SVP, Sales - Payment Integrity Solutions

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. The Valenz mindset and culture of innovation combine to create a distinctly different approach to an inefficient, uninspired health system. With fully integrated solutions, Valenz engages early and often to execute across the entire patient journey – from care navigation and management to payment integrity, plan performance and provider verification. With a 99% client retention rate, we elevate expectations to a new level of efficiency, effectiveness and transparency where smarter, better, faster healthcare is possible. About This Opportunity: As an Sr. Sales Executive at Valenz, you will be responsible for driving net-new enterprise growth of our Payment Integrity solutions within large national and regional health plans and TPAs. This role focuses on developing and executing strategic sales plans to identify, pursue, and close complex, multi-stakeholder opportunities. You will lead consultative, value-driven conversations with senior payer executives, positioning Valenz as a long-term strategic partner focused on measurable financial impact, claims accuracy, and operational efficiency. You will collaborate cross-functionally to deliver competitive solutions and ensure a seamless transition from sale to implementation. Your territory will be East of the Mississippi. Things You’ll Do Here : Drive Enterprise Growth 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 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 Strategic Relationships 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. Represent the Market and the Brand 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. Reasonable accommodation may be made to enable individuals with disabilities to perform essential duties. What You’ll Bring to the Team : 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. A plus if you have… 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. Where You’ll Work: This is a fully remote position, and we’ll provide all the necessary equipment! Work Environment: You’ll need a quiet workspace that is free from distractions. Technology: Reliable internet connection—if you can use streaming services, you’re good to go! Security: Adherence to company security protocols, including the use of VPNs, secure passwords, and company-approved devices/software. Location: You must be US based, in a location where you can work effectively and comply with company policies such as HIPAA. Why You'll Love Working Here Valenz is proud to be recognized by Inc. 5000 as one of America’s fastest-growing private companies. Our team is committed to delivering on our promise to engage early and often for smarter, better, faster healthcare . With this commitment, you’ll find an engaged culture – one that stands strong, vigorous, and healthy in all we do. 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 At Valenz, we celebrate, support, and thrive on inclusion, for the benefit of our associates, our partners, and our products. Valenz is committed to the principle of equal employment opportunity for all associates and to providing associates with a work environment free of discrimination and harassment. All employment decisions at Valenz are based on business needs, job requirements, and individual qualifications, without regard to race, color, religion or belief, national, social, or ethnic origin, sex (including pregnancy), age, physical, mental or sensory disability, HIV Status, sexual orientation, gender identity and/or expression, marital, civil union or domestic partnership status, past or present military service, family medical history or genetic information, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. We will not tolerate discrimination or harassment based on any of these characteristics.