--- title: 'Head of VBC/Payer Sales at Quadrivia' canonical: 'https://feeny.ai/job/head-of-vbc-payer-sales-quadrivia-united-states-z494f60mssmh' type: 'job' last_seen: '2026-09-10' --- # Head of VBC/Payer Sales at Quadrivia - **Company:** Quadrivia - **Location:** United States - **Employment:** full-time - **Work type:** remote - **Posted:** 2026-09-04 - **Last confirmed live:** 2026-09-10 - **Apply:** https://jobs.ashbyhq.com/quadrivia/48c27cee-c9d4-4b0b-a67f-84b5557a6a95 ## Job description ## Role Overview Own the payer and MSO revenue motion — from regional BCBS affiliates and Medicare Advantage plans to Managed Medicaid MCOs, value-based care MSOs, and payer-adjacent organisations managing covered lives at scale — from first meeting to signed MSA Sell alongside the CCO and report directly to company leadership; your wins shape the commercial strategy in real time, not in the next planning cycle Work with named strategic partners who open doors to plan medical directors, VP Care Management leaders, and COOs at payers who are already looking for exactly what Quadrivia delivers Be among the first 20 commercial hires at a company with a product already deployed, a paying customer base, and an ACV target for 2026 that this role is central to hitting ## What You will Do Drive end-to-end enterprise sales cycles with regional health plans, Medicare Advantage organisations, Managed Medicaid MCOs, D-SNPs, and payer-aligned MSOs managing covered lives at scale Lead executive-level conversations with CMOs, VP Care Management, VP Member Experience, VP Quality, and CFOs at plan and MSO leadership level; translate population health financial exposure — MLR, STAR ratings, HEDIS gaps, readmission cost — into a compelling, quantified AI value proposition Navigate complex multi-stakeholder procurement processes at payer organizations — actuarial review, compliance and regulatory sign-off, IT security assessment, legal negotiation, and medical management committee approval Conduct 60-day Proof of Performance deployments with prospective payer and MSO clients: define the Success Scorecard against HEDIS/STAR metrics, member engagement rates, and cost-per-interaction reduction; manage the customer's internal champion; and convert to a paid SOW Develop and execute territory strategy across regional payer markets Maintain pipeline accuracy; contribute to weekly CCO pipeline review with clean, current, and honest deal status Serve as the commercial voice of the payer market back to the product and clinical teams — your accounts define the HEDIS measure clusters, STAR use cases, and care management workflows that drive the next quarter's roadmap ## Compensation & Equity Commission plan is straightforward Full benefits: medical, dental, vision ## What we are looking for Non-negotiable experience 10+ years in enterprise healthcare sales with a consistent track record of closing complex, multi-stakeholder deals at regional or national health plans, Medicare Advantage organisations, Managed Medicaid MCOs, or large value-based care MSOs managing covered lives Direct experience selling to VP Care Management, VP Quality, CMOs, and CFOs at payer organisations — not just provider-side buyers. You understand how a health plan makes a purchasing decision, who has the budget authority, and how compliance and actuarial review can kill a deal in the final week Demonstrated ability to manage 9–18 month enterprise payer sales cycles with actuarial, compliance, medical management, IT security, and legal stakeholders simultaneously Quota performance: able to show W2s and commission statements that prove consistent overachievement against target at payer-facing companies Fluency in payer economics: MLR, PMPM cost structure, STAR rating bonus revenue, HEDIS measure economics, and value-based care shared savings arrangements Highly valued Experience at a care management technology company, utilisation management vendor, population health platform, or managed care services organisation — you understand how payers buy, who they trust, and what makes a vendor credible in a compliance-heavy environment Existing relationships at regional BCBS affiliates, Medicare Advantage plans, Medicaid MCOs, or value-based care MSOs in your target geography — you should be able to get a first meeting with a VP Care Management or VP Quality within 48 hours of your first day Familiarity with NCQA accreditation processes, CMS STAR rating methodology, HEDIS technical specifications, and Managed Medicaid quality reporting — you can walk into a quality committee meeting and add value, not just listen Experience selling a solution that required the payer to change clinical workflows or member outreach operations, not just add a technology license — you know how to sell transformation in an environment where compliance and clinical safety govern every decision Who thrives here You genuinely understand why STAR ratings matter to a Medicare Advantage plan CFO at 3am in November — and you can explain what Quadrivia does about it in language that makes the actuary lean forward You thrive in an environment where the playbook is still being written. You generate your own pipeline and you close your own deals. You take deals personally. You do not let deals die quietly in a procurement committee. You have been on the losing side of a payer deal because the compliance team killed it at the last minute — and you know exactly what to do differently this time ## About Quadrivia ## Company Overview - **One-liner**: Quadrivia builds Q, a clinical AI agent that automates routine healthcare workflows (scheduling, intake, referrals, documentation) via voice and text, operating at Stage 4 autonomy under clinician direction. - **Entity Type**: Private (Seed stage, $4M+ raised in November 2024) - **Headquarters**: London, United Kingdom - **Founded**: 2023 - **Founders**: Not publicly disclosed (key executives include CPO Albert Malagarriga, CMO Shayan Vyas, CCO MSN Rebecca Love) ## Core Business - Primary industry: Healthcare AI / Health & Human Services - Target customers: Healthcare organizations (hospitals, clinics, health systems) – B2B, enterprise - Mission: Lift repetitive clinical burden by combining the scalability of AI with the trust of real clinicians, taking full responsibility for routine clinical processes end-to-end. ## Products & Services - **[Q – Clinical AI Agent]**: A managed AI service that handles the entire coordination layer of patient journeys. Capabilities include real-time autonomous voice/text conversations, bilateral EHR connectivity, automated intake, scheduling, referrals, discharge planning, care coordination, medication management, and documentation. It operates with ~20 parallel safety guard agents and a 2.2-second response cycle. (SaaS / Managed Service) ## Market Standing - **Valuation / Funding**: Seed round of undisclosed amount (reported $4M+) on Nov 12, 2024. Total funding not fully disclosed. - **Key Metric**: ~31 employees (+85% YoY), active in 6 countries (US, UK, Spain, Netherlands, Cyprus, Croatia) - **Notable Investors**: Norrsken VC (lead investor in seed round) - **Growth Signals**: 20,000+ real-world patient interactions tested; 12 active job postings with 20% monthly growth in listings; expanding clinical workflows (25 validated); pursuing HITRUST r2 certification. ## Competitive Advantages - **Clinical-grade compliance**: SOC 2 Type I, HIPAA, TCPA-compliant; data isolation; AI transparency (discloses AI to patients). - **Proven performance**: 98.4% no-harm rate, 99.96% clinical accuracy, 98.7% empathy pass rate – measured against human clinician benchmarks. - **Full-stack autonomy**: Stage 4 clinical AI (reads/writes to EHR, executes tasks, learns from each interaction) – not a chatbot. - **Hybrid delivery**: Managed service with expert clinicians overseeing, not just software. ## Strategic Focus - Scale from 25 clinical workflows to broader patient journeys across multiple languages and care settings. - Deepen payer relationships (hiring Head of VBC/Payer Sales) and expand US market presence. - Achieve HITRUST r2 certification and continue to prove safety in real-world deployments. ## Why Work Here - **Mission-driven**: Tackle the global healthcare worker shortage (18M shortfall) by amplifying clinicians rather than replacing them. - **Culture**: Clinician-led team (27% Medical/Clinical staff) with a strong emphasis on safety, empathy, and continuous improvement. - **Work mode**: Remote-first within eligible countries (ES/UK roles posted as remote); HQ in London with physical office presence; employees on-site none/rare. - **Growth**: 85% headcount growth YoY; active hiring across product, engineering, sales, and finance. - **Perks & Engineering**: Focus on real-time AI architecture (2.2s response), parallel guard agents, and EHR integration – challenging backend problems with tangible impact. ## Sources 1. [Quadrivia.ai](https://quadrivia.ai/) 2. [linkedin.com/company/quadrivia-ai](https://uk.linkedin.com/company/quadrivia-ai) 3. [builtin.com/company/quadrivia-ai](https://builtin.com/company/quadrivia-ai) 4. [tracxn.com/d/companies/quadriviaai](https://tracxn.com/d/companies/quadriviaai/__N11zCIJtgCMpHa4NJRWGdvU_xv4VuQH0EQbPFwDc3Yg) ## Other roles at Quadrivia - [Director, Health System Sales](https://feeny.ai/job/director-health-system-sales-quadrivia-united-states-c6jwsacwen5t) — United States - [Agent Product Manager (Remote - US East Coast)](https://feeny.ai/job/agent-product-manager-remote-us-east-coast-quadrivia-united-states-065mx9qw9q4a) — United States - [Enterprise Sales Leader (Remote - US, ~50% travel)](https://feeny.ai/job/enterprise-sales-leader-remote-us-50-travel-quadrivia-united-states-8t8ree6nzmmr) — United States - [Strategic Account Manager](https://feeny.ai/job/strategic-account-manager-quadrivia-united-states-vqarvxzxcffc) — United States - [Senior (Principal) EHR Integration Engineer (Remote - US only)](https://feeny.ai/job/senior-principal-ehr-integration-engineer-remote-us-only-quadrivia-united-states-gssxt5t24jfh) — United States - [Sales Professional - US Healthcare](https://feeny.ai/job/sales-professional-us-healthcare-quadrivia-united-states-40d43h37z8dk) — United States