Principal, Payer Market Strategy

Overview The Principal Solutions & Growth Strategist is a senior individual contributor and subject‑matter expert in solution strategy, growth architecture, and market‑driven product design within healthcare technology, with a focus on the Payer market (Health Plans, Managed Care Organizations, and government programs). The role provides deep technical and strategic expertise across complex, high‑impact initiatives and serves as a trusted advisor to Product, Engineering, Sales, Marketing, and Executive stakeholders. It requires practitioner‑level command of Health Plan operations, payer regulatory frameworks, and VOC methodologies to ensure solutions align with payer workflows, compliance, and evolving market priorities. The incumbent applies state‑of‑the‑art knowledge of healthcare IT platforms, solution portfolio design, go‑to‑market models, and emerging technologies to solve ambiguous, high‑value business problems. Performance is measured as an individual contributor with architectural direction and cross‑functional influence as needed. Responsibilities Serve as a principal advisor on solution strategy, growth architecture, and market entry decisions for complex or emerging solution domains. Define end‑to‑end solution frameworks, including positioning, differentiation, value realization, and competitive strategy, informed by deep technical and market expertise. Provide architectural input and design guidance into company product platforms, ensuring scalability, interoperability, and alignment with long‑term strategic direction. Translate ambiguous business problems into clear solution strategies, technical requirements, and execution roadmaps. Act as an in‑house expert on assigned solution areas, technologies, or market segments, maintaining current knowledge of competitive offerings, regulatory trends, and emerging technologies. Partner with Product and Engineering to shape solution requirements, MVP definitions, and capability roadmaps, ensuring alignment with customer needs and platform strategy. Evaluate solution performance across the lifecycle and recommend optimization, expansion, or sunset strategies based on adoption, value delivery, and technical fit. Provide expert support to go‑to‑market design, including pricing logic, packaging strategy, and value‑based positioning. Serve as a technical and solution SME for Sales and Commercial teams on complex deals, enterprise opportunities, and strategic accounts. Develop or contribute to advanced solution narratives, demos, and competitive positioning materials for high‑stakes customer engagements. Continuously scan, assess, and integrate emerging technologies, platforms, and business models relevant to the company’s growth strategy. Apply research, experimentation, and industry insight to inform new solution concepts, pilots, and growth bets. Champion technically sound, customer‑informed innovation with a focus on practical application and scalable outcomes. Influence outcomes through expertise, credibility, and thought leadership, rather than formal authority. Collaborate across Product, Engineering, Sales, Marketing, Operations, Legal, Regulatory, and Finance to solve complex challenges. Mentor and inform peers and junior professionals informally or on project‑specific initiatives, without formal people‑management accountability. Serve as the subject‑matter authority on Health Plan and Managed Care market dynamics, including commercial, Medicare Advantage, Medicaid, and ACA marketplace segments. Design and lead structured VOC programs to capture payer workflows, unmet needs, and buying drivers; translate insights into prioritized solution requirements and strategic differentiation. Interpret and apply regulatory guidance relevant to health plans (e.g., CMS rules, NCQA/HEDIS, interoperability mandates) and ensure solutions are designed for compliance and market differentiation. Monitor evolving payer regulatory landscape and assess the business impact of proposed and final rules; brief internal stakeholders and embed regulatory intelligence into product roadmaps and GTM strategies. Build and maintain senior relationships with Health Plan executives and operations leaders to position Veradigm as a strategic partner and surface early market signals. Travel up to 25% may be required. Qualifications 4–7+ years in growth strategy, product strategy, market research, sales strategy, or related roles. Experience in technology development, partner identification/formation, market sizing, and product pricing. Experience partnering with marketing and sales organizations; demonstrated leadership in high growth and established companies. 5+ years direct experience working within or selling to Health Plans, Managed Care Organizations, or government health programs (Medicare Advantage, Medicaid, ACA marketplace). Expertise in health plan regulatory frameworks (CMS STAR ratings, HEDIS/NCQA, risk adjustment, prior authorization) and ability to translate regulatory requirements into solution design and GTM strategy. Proven track record leading VOC programs and translating insights into product strategy and commercial outcomes. Strong communication, presentation, and cross‑functional collaboration skills; ability to operate in a matrixed organization. Deep subject‑matter knowledge of Health Plan operations (utilization management, network strategy, care management, quality improvement, claims/payment integrity). Ability to design and facilitate VOC research (advisory councils, interviews, journey mapping) and synthesize insights into strategic recommendations. Travel up to 25% may be required. Compensation & Benefits Compensation Range: $130,241–$189,502. Compensation is subject to market conditions, geographic considerations, and candidate experience. Veradigm provides a comprehensive benefits package including health insurance, retirement, and related programs. Equal opportunity employer statement available on request. Legal & Equal Opportunity Veradigm is an equal opportunity employer and prohibits discrimination and harassment of any kind. Verification of employment eligibility will be required at the time of hire. This posting is for North American positions; other regions apply per policy. #J-18808-Ljbffr Veradigm®