Sales Director Risk Adjustment & Retrieval (Healthcare BPO)
- Annova Solutions
- 12 - 22 years
- United States (U.S)
- 9 days ago
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Job Description
Job Title: Sales Director Risk Adjustment & Retrieval (Healthcare BPO)
Location: U.S. (Remote) | Reports to: CEO
About Us
Annova Solutions is a Healthcare BPO company specializing in Risk Adjustment Coding, Medical Chart Retrieval, and Legal Chart Support Services. Since 2017, we've helped Medicare Advantage and Medicaid payors drive accuracy, compliance, and outcomes across their data-driven workflows. With $6M in annual revenue and two long-standing enterprise clients, were now investing in building a scalable GTM engine for the next phase of growth.
We operate in a highly dynamic environment where CMS Risk Adjustment guidelines, regulatory scrutiny, and payer expectations are constantly evolving. Payers today need holistic, tech-enabled solutions that go beyond staffing. This role is for someone who thrives on solving complex healthcare challenges, is deeply networked in the Risk Adjustment space, and wants to play a pivotal role in a growing, agile company.
What Youll Own
- GTM Strategy & Execution: Refine and execute a go-to-market plan for MA and Medicaid clients, adapting to CMS changes and market trends.
- Lead Generation & Closure: Own the sales funnel from targeted outreach and relationship building to RFP management and deal closure.
- Sales Infrastructure: Establish scalable sales processes, CRM workflows, pipeline reporting, and KPIs.
- Team Enablement: Mentor and support a small, largely offshore team with limited sales experience; build internal confidence and capabilities.
- Solution Positioning: Translate our offerings (retrieval, HCC coding, quality audits) into value-based conversations tied to RAF accuracy, RADV mitigation, and CMS compliance.
- Client Education: Be a thought leader who helps clients navigate shifting CMS guidelines, tech adoption, and hybrid delivery models (e.g., AI, NLP coding tools, EMR integrations).
What Were Looking For
- 710 years of experience in B2B sales, growth, or solution leadership roles in Medicare Advantage, Medicaid, or ACO/Value-Based Care.
- Strong network of decision-makers in Risk Adjustment, Medical Coding, HIM, or Chart Retrieval within payer or MSO organizations.
- Familiarity with CMS Risk Adjustment models, RADV audits, and coding completeness metrics.
- Ability to sell both traditional BPO services and integrated tech-enabled solutions (AI/NLP coding platforms, EMR access workflows, automation frameworks).
- Track record of building sales strategies from scratch, managing long cycles, and closing deals in the $500K$2M range.
- Comfortable operating in a high-ownership, hybrid onshore-offshore setup, where flexibility and a hands-on approach are essential.
- Strategic thinking combined with hands-on hustle you build decks, follow up leads, and close business.
Nice to Have
- Exposure to Legal Chart Retrieval services, HEDIS, or broader healthcare data ops.
- Experience working with or selling to Clearinghouses, MSOs, ACOs, or Provider groups.
- Familiarity with tools like Salesforce, HubSpot, or outreach platforms.
Why Join Annova
- Work directly with the CEO and founders your voice will shape company strategy.
- Help build a sales engine that will scale from $6M to $20M+.
- Operate with autonomy in a flat, collaborative, performance-driven environment.
- Get in early at a company investing in both people and technology to lead in Risk Adjustment services.Role & responsibilities
Preferred candidate profile
Job Classification
Industry: BPM / BPOFunctional Area / Department: Strategic & Top ManagementRole Category: Top ManagementRole: Top Management - OtherEmployement Type: Full timeContact Details:
Company: Annova SolutionsLocation(s): United States (U.S)
Keyskills: Medicare Healthcare Business Development
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