Remote New

Sr.Dir/AVP Commercial Strategy - Risk Adjustment

Inovalon, Inc.
life insurance, paid time off, 401(k)
United States
Apr 10, 2026
Inovalon was founded in 1998 on the belief that technology, and data specifically, would empower the transformation of the entire healthcare ecosystem for the better, improving both outcomes and economics. At Inovalon, we believe that when our customers are successful in their missions, healthcare improves. Therefore, we focus on empowering them with data-driven solutions. And the momentum is building. Together, as ONE Inovalon, we are a united force delivering solutions that address healthcare's greatest needs. Through our mission-based culture of inclusion and innovation, our organization brings value not just to our customers, but to the millions of patients and members they serve. Overview: The Sr.Dir/AVP of Risk Adjustment & Clinical Commercial Strategy is responsible for defining and driving the commercial growth strategy for new and existing solutions in this area, serving as the critical link between customers, sales execution, and product strategy. This role supports commercial planning, pricing strategy, go-to-market execution, and voice-of-customer insights, ensuring that customer needs, market dynamics, and product capabilities translate into durable revenue growth. This role reports to the SVP of the Payer Commercial Strategy group and partners closely with senior leaders across Commercial, Sales, Product, Engineering, Marketing, Finance, Legal, and Customer Success. The role is a critical component of the high-impact commercial team that enables scale, clarity, and execution across the Payer portfolio. This role supports commercialization of new Payer products and enhancements, and leads build/buy/partner decisions, M&A decisions, and defining market segment strategies, and high level solution needs for internal builds. Duties and Responsibilities: Commercial Strategy & Business Planning Support end-to-end commercialization for new Payer products, partnerships and add-ons, including launch signoff, positioning, pricing, enablement, customer messaging, and post-launch performance tracking. Ensure new product launches are evaluated for profitability and GTM consideration with discipline and precision, partnering cross-functionally to drive adoption, pipeline conversion, and early revenue realization. Support the annual and multi-year business planning, ensuring tight alignment across sales capacity, product roadmaps, pricing strategy, and financial targets. Translate enterprise strategy into executable GTM plans for new products, add-ons, and expansions. Go-to-Market & Commercialization Support GTM plans for new Payer products and enhancements in close partnership with Product and Sales. Ensure clear positioning, pricing, packaging, and enablement for marketing, sales and customer-facing teams. Support Sales Engineering from primarily demo-based pre-sales support into a strategic commercial capability, contributing to go-to-market execution, deal strategy, pricing input, and structured Voice of Customer feedback. Pricing & Monetization Own product and services pricing strategy for the Payer business, in close alignment with Product and Finance. Refine pricing frameworks that balance growth, competitiveness, and margin discipline. Support deal-level pricing decisions and approvals for complex or strategic opportunities. Voice of Customer & Market Intelligence Assist and Co-Lead the Client Engagement program, including customer advisory boards, KLAS engagement, customer insights, and feedback loops. Support the market research and competitive intelligence, translating insights into actionable recommendations for product, pricing, and GTM strategy. Ensure customer insights directly inform roadmap prioritization and commercial decisions. Cross-Functional Leadership & Alignment Drive Integrated conversations across Sales, Product, Engineering, Marketing, and Customer Success, driving clarity, accountability, and execution from strategy through results. Build strong relationships with internal stakeholders to ensure decisions translate into outcomes, not just plans. Partner with Sales and Marketing on brand-building, campaigns, messaging, and competitive positioning. Executive Communication & Performance Monitoring Monitor and analyze commercial performance, including bookings, pipeline health, pricing effectiveness, and retention signals. Present business plans, performance insights, and growth recommendations to executive leadership. Use data and customer insights to continuously refine strategy and execution. Establish clear launch success metrics and operating cadence to monitor adoption, customer feedback, and commercial performance post-launch. Adise and help with the refinement of scalable commercialization playbooks and operating models to support repeatable launches as the Payer portfolio expands. Specific Duties Support the execution of the Payer commercial strategy, including pricing, packaging, and GTM plans as it related the Risk Adjustment and correlated solutions and services such as Medical Record Retrieval, Medical Record Review, In Home Assessments, Care Gap Closure, and intergration with clinical systems for the purpose of risk adjustment. Allocate meaningful time to customer engagement, including executive meetings, conferences, and strategic accounts. Act as a thought leader, attending and speaking at conferences as well as regular interaction with industry analysts from Gartner, KLAS, IDC, HFS, etc. Partner with other commercial team members on strategic partnerships and inorganic growth opportunities in collaboration with Sales and Product teams Ensure tight linkage between customer satisfaction, retention, and revenue outcomes. Job Requirements: 15+ years of experience in healthcare, data, technology, or analytics-driven businesses with direct strategic or operational experience for risk adjustment programs Demonstrated success defining and executing revenue growth strategies in complex, cross-functional environments. Strong understanding of Payer market dynamics, healthcare economics, and enterprise software or data solutions. Proven ability to operate at both strategic and executional levels, translating strategy into results. Exceptional communication, influence, and executive presence. Education: BA or BS degree in technical or business discipline and or related field, or equivalent work experience. Master's degree or equivalent preferred. Physical Demands and Work Environment: Sedentary work (i.e. sitting for long periods of time). Exerting up to 10 pounds of force occasionally and/or negligible amount of force. Frequently or constantly to lift, carry push, pull or otherwise move objects and repetitive motions. Subject to inside environmental conditions. May require up to 35% travel Inovalon Offers a Competitive Salary and Benefits Package In addition to the base compensation, this position may be eligible for performance-based incentives. The actual base pay offered may vary depending on multiple factors including, but not limited to, job-related knowledge/skills, experience, business needs, geographical location, and internal equity. At Inovalon, it is not typical for an individual to be hired at or near the top end of the range for their role, and compensation decisions are dependent upon the facts and circumstances of each position and candidate. Inovalon invests in associates to help them stay healthy, save for long-term financial goals, and manage the demands of work and personal commitments. That's why Inovalon offers a valuablebenefits packagewith a wide range of choices to meet associate needs, which may include health insurance, life insurance, company-paid disability, 401k, 18+ days of paid time off, and more. Base Compensation Range $205,500 — $280,000 USD This position is not eligible for immigration sponsorship (e.g. H-1B, TN, or E-3). Applicants must be authorized to work in the United States as a condition of employment. (This is only applicable for US-based positions) If you don't meet every qualification listed but are excited about our mission and the work described, we encourage you to apply. Inovalon is most interested in finding the best candidate for the job, and you may be just the right person for this or other roles. By embracing inclusion, we enhance our work environment and drive business success. Inovalon strives to provide equal opportunities to the communities where we operate and to our clients and everyone whom we serve. We endeavor to create a culture of inclusion in which our associates feel empowered to bring their full, authentic selves to work and pursue their professional goals in an equitable setting. We understand that by fostering this type of culture, and welcoming different perspectives, we generate innovation and growth. Inovalon is proud to be an equal opportunity workplace. We are committed to equal employment opportunity regardless of race, color, ancestry, religion, sex, national origin, sexual orientation, age, citizenship, marital status, disability, gender identity or veteran status. We also consider qualified applicants regardless of criminal histories, consistent with legal requirement. To review the legal requirements, including all labor law posters, please visit this link To review the California Consumer Privacy Statement: Disclosures for California Residents, please visit thislink