Sales VP, Pharmacy Claim Editing Solutions

Job description

Overview This is a senior hunter sales role responsible for selling Cotiviti’s Pharmacy Claim Editing and Payment Accuracy solutions to U.S. health plans, third-party administrators, and self-funded plan sponsors. Target customers include national and regional commercial health plans, Blues plans, Medicaid Managed Care Organizations, Medicare Advantage and Medicare Part D plans, payer-owned PBMs, Third-Party Administrators (TPAs), and administrators of self-funded employer health plans. The role requires deep experience selling complex healthcare software and services into Pharmacy Operations, Payment Integrity, Claims, Finance, and Procurement organizations across the health plan, TPA, and self-funded ecosystem. Candidates must demonstrate success selling pharmacy-focused solutions, with experience in pharmacy claim editing, utilization management, benefit configuration, and post-pay or pre-pay accuracy programs highly desired. Familiarity with Medicare Part D payment integrity requirements and self-funded/ASO pharmacy benefit structures is strongly preferred. The position is responsible for driving new logo acquisition across assigned territories in the United States. Responsibil...