Title: Market VP, Payer Partnerships (Medicaid Managed Care/MCO)

Location: Remote-first (US-based)

Travel: ~20% for key meetings and closings

Comp: $90k base / $190k OTE (uncapped)

About Samaritan

We help people on or near the streets stay engaged and make progress toward health, housing, and economic stability. Our platform combines flexible financial incentives and social support to reinforce follow-through—improving engagement and outcomes while preserving dignity and agency.

Samaritan helps plans improve engagement and quality performance, reducing avoidable utilization, while making a meaningful impact on local communities.

We’re hiring a VP, Payer Partnerships to lead revenue growth with Medicaid managed care plans across priority regions (California, Arizona, Kentucky, plus additional markets as we scale). This is a senior, externally facing role owning the full sales cycle and partnering closely with the CEO on executive-level selling, late-stage negotiations, and key payer relationships (including national and multi-state plans).

This is not a greenfield role. You’ll inherit active opportunities and warm relationships. Pipeline is primarily warm-intro driven; you’ll own sourcing end-to-end (no SDR). We prioritize disciplined qualification and clean handoffs over high-volume outreach.

This is a high-impact role within an early-stage environment. As the company scales and results compound, we expect the scope, influence, and total compensation of this role to evolve alongside the business.

• Own the full sales lifecycle: sourcing/warm intros → qualification → proposals/pricing → negotiation/contracting → launch coordination → expansion
• Lead complex, multi-stakeholder payer processes (Quality, Population Health, Care Management, Clinical Ops), including procurement, legal, compliance, and executive approvals
• Drive pipeline integrity and CRM excellence in HubSpot: buyer maps, decision paths, timelines, risks/dependencies, close plans, and next actions
• Shape regional strategy to deepen existing payer relationships and unlock adjacent opportunities responsibly
• Partner tightly with delivery/product/ops so deals are scoped for successful launch and scalable outcomes
• Contribute to evolving playbooks, tools, and operating rhythms as we scale
  

• Care about mission and outcomes as much as revenue—and can explain why this work matters to partners
• Bring 7+ years in enterprise/strategic sales, payer partnerships, or BD in Medicaid managed care or adjacent public-sector health
• Have closed and expanded six- and seven-figure partnerships, with clear ownership of deal structure, timing, and close discipline
• Navigate procurement/legal/compliance confidently and can multi-thread stakeholders through executive approval
• Speak the language of payer teams across Quality, Population Health, Care Management, and Clinical Ops—and tailor the story to each
• Build trust through follow-through, and handle hard conversations early (risk surfacing, holding the line on deal quality)
• Work cross-functionally with delivery/product/ops to design deals that launch successfully and scale
  

• Familiarity with HEDIS, quality improvement initiatives, or value-based performance frameworks
• Experience building market/account strategies across multi-state plans
• Experience contributing to playbooks, enablement assets, or evolving operating rhythms in a scaling environment
  

• Contracted ARR + expansion
• Pipeline quality/velocity
• Time to activation (signature → live members)
• Cross-functional handoff quality
  

• $90,000 base | $190,000 OTE (uncapped)
• Health, dental, vision; remote-first; PTO & holidays
• Learning, wellness, and home office stipends