Quantum Health

Vice President

• Develop and execute a health plan market strategy that supports long-term growth
• Own health plan market positioning strategy, defining how our broad portfolio of solutions is differentiated and perceived across the healthcare ecosystem
• Collaborate with commercial team leaders to define and evolve the value proposition for health plans, including persona-based messaging and storytelling tailored to executive stakeholders such as CFOs, Heads of Product, Clinical leaders, and Innovation leaders
• Map and refine the health plan buying journey to ensure messaging, positioning, content, and market engagement strategies align to the priorities and decision-making processes of key buyer personas throughout the sales cycle
• Lead the development of strategic messaging, narratives, and storytelling frameworks that clearly communicate the value of our solutions within the health plan market
• Recommend and execute conference, event, and thought leadership strategies to increase visibility and credibility within the health plan ecosystem
• Partner cross-functionally with Sales, Marketing, Product, and Strategy leadership to ensure market positioning and thought leadership reflect the evolving Quantum Health business strategy
• Define and evolve the health plan branding strategy, including recommendations for how and when the Quantum Health, Embold Health and CirrusMD brand should be leveraged within the health plan market
• Translate market positioning into clear strategic direction for Marketing, Communications, and Design execution teams
• Serve as the internal advocate for the health plan market opportunity within Quantum Health
• Collaborate on opportunities to advance and amplify the broader Quantum Health portfolio and help executive leadership understand the long-term value of sustained brand investment in a health plan context

VP Health Plan Market Strategy

Customer Success Manager

• Work closely with clients to understand their business objectives and ensure the company’s product or service delivers measurable value aligned with their goals.
• Serve as the primary point of contact for key accounts, managing day-to-day communications and ensuring strong relationships with client stakeholders at all levels.
• Lead clients through the onboarding process and drive product/service adoption by providing training, best practices, and ongoing support tailored to their specific needs.
• Identify opportunities for account growth, including upselling additional services, cross-selling complementary products, and recommending new solutions that enhance client success and increase revenue.
• Proactively manage client renewals, minimizing churn through ongoing engagement and demonstrating continuous value.
• Regularly track and assess client health, using data and insights to identify risks and opportunities for deeper engagement and growth.
• Develop and execute client success plans that align with client goals and foster long-term partnerships, driving retention and growth within assigned accounts.
• Monitor key success metrics such as adoption rates, client satisfaction scores (NPS/CSAT), and revenue growth.
• Regularly report progress and outcomes to both clients and internal stakeholders.
• Act as a trusted advisor and advocate for the client, ensuring any issues or concerns are addressed swiftly and effectively, coordinating with internal teams as necessary.
• Work closely with Sales, Product, Marketing, and Support teams to ensure a seamless client experience and identify opportunities for improvement or innovation in the client journey.
• Collect and relay client feedback to internal teams, providing insights to improve product offerings, services, and overall client experience.

Client Success Executive

Pharmacist

• Clinically review all requests for provider-administered specialty medications for appropriateness
• Support providers and members in optimization of site of care for requested services
• Demonstrate and expand a working knowledge of all clinical processes and medical policy
• Work collaboratively with Medical Directors and Pharmacists for all relevant requests
• Serve as a Subject Matter Expert (SME) for infusible and injectable medication-related services
• Communicate with members, providers, facilities, and all internal work groups regarding outcome of requests
• Identify members who may be appropriate for care/case management services
• Identify care coordination opportunities and work with operational, clinical, and customer-facing teams

Pre-Cert Pharmacy Review Nurse, RN – Pharmacy Experience Required

• Work closely with clients to understand their business objectives and ensure the company’s product or service delivers measurable value aligned with their goals
• Serve as the primary point of contact for key accounts, managing day-to-day communications and ensuring strong relationships with client stakeholders at all levels
• Lead clients through the onboarding process and drive product/service adoption by providing training, best practices, and ongoing support tailored to their specific needs
• Identify opportunities for account growth, including upselling additional services, cross-selling complementary products, and recommending new solutions that enhance client success and increase revenue
• Proactively manage client renewals, minimizing churn through ongoing engagement and demonstrating continuous value
• Regularly track and assess client health, using data and insights to identify risks and opportunities for deeper engagement and growth
• Develop and execute client success plans that align with client goals and foster long-term partnerships, driving retention and growth within assigned accounts
• Monitor key success metrics such as adoption rates, client satisfaction scores (NPS/CSAT), and revenue growth
• Regularly report progress and outcomes to both clients and internal stakeholders
• Act as a trusted advisor and advocate for the client, ensuring any issues or concerns are addressed swiftly and effectively, coordinating with internal teams as necessary
• Work closely with Sales, Product, Marketing, and Support teams to ensure a seamless client experience and identify opportunities for improvement or innovation in the client journey
• Collect and relay client feedback to internal teams, providing insights to improve product offerings, services, and overall client experience

Senior Client Success Executive

Sales Operations Manager

• Own Sales VP dashboards in Salesforce, serving as the subject matter expert for reporting related to pipeline health and performance insights
• Lead initiatives to improve Salesforce data quality, standardize reporting, and ensure the sales team is effectively utilizing the platform
• Partner closely with Sales Leadership and the broader Sales Operations team to reinforce sales process governance
• Drive projects that improve seller effectiveness through standardized lists, reports, views, and cleaner workflow visibility in Salesforce
• Support territory updates, account reassignments, and Salesforce ownership changes by providing reporting insights
• Lead and run recurring monthly sales meetings with Sales Leadership
• Lead cross-functional projects focused on improving Salesforce reporting accuracy

Manager

• Providing overall, strategic oversight of the client experience
• Building and maintaining strong relationships with key client stakeholders
• Building and maintaining strong relationships with clients’ advisors
• Leading the recurring client performance reporting and analysis
• Providing guidance to clients to optimize the partnership with Quantum Health – e.g. driving member engagement, integrating with other vendor partners, etc.
• Managing the financial relationship with clients, negotiating contract renewals
• Reinforcing the Quantum story and value to both the client and the members to ensure client satisfaction and retention of membership and growth of revenue
• Acting as the primary client liaison within Quantum Health’s operations
• Working with the dedicated implementation team as needed to successfully onboard new clients
• Resolving escalated operations issues
• Managing operational deliverables, based on client needs, to ensure client and Quantum success

Client Success Manager

Actuary

• Architect the Savings Engine: Advance the foundational actuarial models for Embold Edge that link physician quality to tangible medical cost reduction.
• External Market Authority: Act as the technical face of Embold Edge. You will engage with health plan actuaries, consultants, and other external stakeholders to validate our savings methodology and actuarial assumptions.
• Reporting Savings: You will work with Client Success and Client Reporting teams to develop quarterly and annual client deliverables and identify key program value levers and opportunities for improvement.
• Publication: Partner internally and external parties to publish program performance and contribute to the broader dialogue in the actuarial and employee benefits/HR community.
• Alternative Health Plan (AHP) Strategy: Design innovative financial structures for our health plan partners, including risk-sharing, performance-based pricing, and surplus-sharing models that reward quality.
• Rapid Prototyping: Work directly with the leadership across organizations to iterate on 'next generation' solutions. You must be able to model outcomes for new products that don't have decades of legacy data.

Principal Actuary

Medical Director

• Serves as a key clinical resource for staff
• Establishes criteria and protocols for standard medical treatment inquiries and renders determinations on requests for healthcare services and/or treatment
• Conducts daily review of individual cases and has necessary case level conversations as requested. This includes prior authorizations and denial decisions for cases that do not meet established evidence-based criteria
• Provides clear and concise documented medical review determinations and support on requested reviews within the established time frames
• Provides clinical and nurse consultations
• Identifies opportunities to implement best practices approaches and introduce innovations to provide improved outcomes
• Performs utilization review and case management support on complex members
• Provides support over the phone, through messaging and video to support chronic disease management
• Offers peer-to-peer discussions regarding determinations as necessary
• Serves as a medical liaison to physicians, hospitals and insurance carriers
• Provides determination on appeals for cases where they did not make the initial determination
• Utilizes data resources and tools that help our team provide personalized care to our clients
• Evaluates and interprets data. Identifies areas for improvement with a focus on interventions to improve client outcomes
• All other duties as assigned.

Medical Director, Clinical Specialty

Sales

• Partner closely with the Vice President of Sales to support opportunity execution and overall territory success.
• Maintain continuity across active opportunities by helping track next steps, risks, and action items as deals progress.
• Translate defined sales strategy into structured execution across discovery, demos, proposals, and finalist meetings.
• Prepare meeting prep documents, agendas, summaries, and follow-ups for key sales engagements.
• Support complex sales cycles involving multiple internal and external stakeholders while helping ensure alignment and readiness at each stage.
• Develop and maintain strong knowledge of the full Quantum Health solution portfolio.
• Clearly articulate how Quantum Health partners with clients.
• Serve as a resource to internal teams for solution clarification and positioning.
• Lead or support live, scenario-based sales demonstrations tailored to the prospect and buying audience.
• Support maintaining accurate and timely opportunity, contact, and activity data in Salesforce.
• Conduct research on employer organizations and market dynamics; synthesize insights for Sales leadership.
• Represent Quantum Health in select industry events and sales engagements as needed to support pipeline development.

Sales Associate

• Drive regional revenue and membership growth by executing a comprehensive territory strategy aligned with Quantum Health’s overall go-to-market approach.
• Consultatively identify client and prospect challenges and develop compelling, customized value propositions for HR and Finance buyers based on Quantum Health’s differentiated capabilities.
• Position Quantum Health effectively against competitors by demonstrating deep knowledge of the value proposition, market dynamics, and emerging industry trends.
• Ensure accurate opportunity management, forecasting, and pipeline hygiene within Salesforce to support predictable performance.
• Build and maintain strong relationships with regional benefits consultants, brokers, and other strategic partners to influence pipeline creation and successful deal execution
• Partner with consultants to align and manage RFP and sales processes with prospective clients.
• Collaborate with external partners such as claims administrators and point solutions, as needed, to advance opportunities.
• All other duties as assigned.

VP Health Plan Market Strategy

Client Success Executive

Pre-Cert Pharmacy Review Nurse, RN – Pharmacy Experience Required

Senior Client Success Executive

Sales Operations Manager

Client Success Manager

Client Success Executive

Principal Actuary

Medical Director, Clinical Specialty

Sales Associate

Regional VP of Sales