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Solution Development Director

📅 Aug 25
Healthcare Payer/provider StrategyValue-based Care (vbc)Risk AdjustmentQuality Measurement
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📜 Description

  • Screen opportunities across prioritized innovation areas and maintain a ranked pipeline with clear kill-or-advance criteria.
  • Build segment-level TAM/SAM/SOM models using sourced and validated assumptions.
  • Develop business requirements and investment cases for executive review.
  • Validate market opportunities directly with prospects, advisors, vendors, and other external stakeholders.
  • Maintain an accessible competitive intelligence system and recommend whether to build, partner, or acquire.
  • Present board- and CEO-ready recommendations and hand approved opportunities to the Solutions team with build-ready business cases and specifications.

🛠️ Requirements

  • Direct experience with risk-bearing provider organizations or health systems – either vendor-side (servicing them) or customer side (working inside one)
  • Track record of sizing new markets or capabilities and getting an investment approved, not just producing analysis
  • Fluent in HCC/RAF, HEDIS/Stars, ACO economics (MSSP/ACO REACH/LEAD), payer-provider data workflows
  • Comfortable operating with incomplete data under executive scrutiny
  • Comfortable engaging directly with external stakeholders to secure market signal, not just synthesizing data
  • Strong cross-functional collaborator, comfortable partnering across teams to move strategic work forward
  • PE-backed or high-growth SaaS experience strongly preferred

✨ Benefits

  • WORKING AT VATICA HEALTH ADVANTAGES
  • Prosperity
  • Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
  • 401k plans– we want to empower you to prepare for your future
  • Good Health
  • Comprehensive Medical
  • Dental
  • Vision insurance plans
  • Tax-free Dependent Care Account
  • Life insurance, short-term, and long-term disability
Full job description

The Solution Development Director owns the front end of the growth pipeline for the company’s healthcare payer/provider business: identifying where the company should expand next into both new market segments and new capabilities. The role is focused on proving the size and shape of the opportunity and de-risking the investment decision before it moves to build. The role runes each opportunity through five stages – investigate, frame, size, build the business case, and validate – turning a candidate market or capability into a funded, board-ready recommendation. This is a diligence and business-case function, not a delivery function. Once an opportunity is approved, the Director hands it off to another member of the Solutions team to build.

Responsibilities:

  • Run structured opportunity screens across prioritized innovation areas
  • Maintain a live, ranked pipeline with clearly defined kill/advance criteria
  • Build TAM/SAM/SOM models by segment with explicit, sourced, and internally and externally validated assumptions
  • Draft business requirements and investment cases (including problem, buyer, willingness to pay, moat, effort, and risk) for executive review
  • Design and run in-market validation by sourcing validation signal directly from external stakeholders (prospects, advisors, vendors) rather than relying solely on internal data or secondary research
  • Own competitive intelligence as a maintained, query-able system that other team members can easily access
  • Recommend build vs partner vs acquire, with cost/speed/risk trade-offs clearly defined
  • Present in board-and-CEO ready format owning the narrative, not just the inputs
  • Hand off approved opportunities to another member of the Solutions team with a business case and spec clear enough to build against, staying engaged through the transition

Requirements

  • 6+ years healthcare payer/provider strategy, corp dev, or product strategy at a health plan, provider organization, healthcare tech/SaaS company, healthcare-focused consulting firm, or growth equity/PE fund with a healthcare vertical; direct VBC/risk adjustment/quality domain experience is required
  • Direct experience with risk-bearing provider organizations or health systems – either vendor-side (servicing them) or customer side (working inside one)
  • Track record of sizing new markets or capabilities and getting an investment approved, not just producing analysis
  • Fluent in HCC/RAF, HEDIS/Stars, ACO economics (MSSP/ACO REACH/LEAD), payer-provider data workflows
  • Comfortable operating with incomplete data under executive scrutiny
  • Comfortable engaging directly with external stakeholders to secure market signal, not just synthesizing data
  • Strong cross-functional collaborator, comfortable partnering across teams to move strategic work forward
  • PE-backed or high-growth SaaS experience strongly preferred

Competencies

Collaborates

  • Forges strong partnerships to achieve shared goals, actively engaging with others and valuing diverse perspectives.
  • Works cooperatively across teams, earning trust and support while sharing credit for successes.
  • Leverages collaboration to strengthen professional relationships and deliver impactful results.

Communicates Effectively

  • Delivers clear, purposeful messages that ensure understanding and connection.
  • Adapts communication style with emotional intelligence, demonstrating active listening, empathy, and confidence.
  • Fosters open dialogue, encouraging collaboration and attentively valuing others' perspectives.

Strategic Mindset

  • Anticipates future trends and potential roadblocks, creating strategies to drive results.
  • Thinks ahead, connects vision to action, and evaluates risks and rewards from all perspectives to make informed decisions.

Cultivates Innovation

  • Generates unique, valuable ideas that drive organizational improvement and problem-solving.
  • Fosters creative thinking within the team, introducing fresh perspectives and approaches.
  • Translates innovative ideas into actionable solutions and encourages diverse thinking to nurture a culture of innovation.

Decision Quality

  • Makes timely, well-informed decisions that align with company needs, using critical thinking, analysis, and experience.
  • Demonstrates sound judgment even with limited information, considering all relevant factors and applying appropriate decision-making criteria.

Critical Thinking

  • Proactively seeks innovative solutions and analyzes information to make informed, well-balanced decisions.
  • Evaluates both positive and negative aspects of a situation, considering all factors before acting.
  • Demonstrates decisiveness while clearly communicating the rationale behind decisions.

Benefits

WORKING AT VATICA HEALTH ADVANTAGES

Prosperity

  • Competitive salary based on your experience and skills – we believe the top talent deserves the top dollar
  • Bonus Potential (based on role and is discretionary) – if you go above and beyond, you should be rewarded
  • 401k plans– we want to empower you to prepare for your future
  • Room for growth and advancement- we love our employees and want to develop within

Good Health

  • Comprehensive Medical, Dental, and Vision insurance plans
  • Tax-free Dependent Care Account
  • Life insurance, short-term, and long-term disability

Happiness

  • Excellent PTO policy (everyone deserves a vacation now and then)
  • Great work-life balance environment- We believe family comes first!
  • Strong supportive teams- There is always a helping hand when you need it

The salary for a position is typically determined by multiple factors such as the individual's qualifications, experience, skills, and location. The projected compensation range for the position may vary based on these factors and could range from $150,000 to $175,000 (annualized USD). However, this estimate represents just one aspect of our total compensation package offered.

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