The Principal Solutions & Growth Strategist is a senior individual contributor recognized as a subject‑matter expert in solution strategy, growth architecture, and market‑driven product design within healthcare technology, with a specific focus on the Payer market including Health Plans, Managed Care Organizations, and government-sponsored programs. This role provides deep technical and strategic expertise across complex, high‑impact initiatives and serves as a trusted advisor to Product, Engineering, Sales, Marketing, and Executive stakeholders. This role requires a practitioner-level command of Health Plan operations, payer regulatory frameworks, and Voice of the Customer (VOC) methodologies to ensure Veradigm’s solutions are deeply aligned with payer workflows, compliance requirements, and evolving market priorities.

The incumbent applies state‑of‑the‑art knowledge of healthcare IT platforms, solution portfolio design, go‑to‑market models, and emerging technologies to solve ambiguous, high‑value business problems. While demonstrating the maturity and discipline of a people manager, the contribution is made through technical leadership, architectural design, and expert execution, not through direct team management.

Goals are typically communicated in solution or outcome‑oriented terms, and the incumbent determines the methods, frameworks, and approaches used to achieve results. The role may provide architectural direction and thought leadership across company products and may guide cross‑functional or short‑term project teams, while performance is measured as an individual contributor.

Strategy, Architecture & Technical Leadership

• Serve as a principal advisor on solution strategy, growth architecture, and market entry decisions for complex or emerging solution domains.

• Define end‑to‑end solution frameworks, including positioning, differentiation, value realization, and competitive strategy, informed by deep technical and market expertise.

• Provide architectural input and design guidance into company product platforms, ensuring scalability, interoperability, and alignment with long‑term strategic direction.

• Translate ambiguous business problems into clear solution strategies, technical requirements, and execution roadmaps.

Solutions & Portfolio Expertise

• Act as an in‑house expert on assigned solution areas, technologies, or market segments, maintaining the highest level of current knowledge of competitive offerings, regulatory trends, and emerging technologies.

• Partner with Product and Engineering to shape solution requirements, MVP definitions, and capability roadmaps, ensuring alignment with customer needs and platform strategy.

• Evaluate solution performance across the lifecycle and recommend optimization, expansion, or sunset strategies based on adoption, value delivery, and technical fit.

Go‑to‑Market & Commercial Enablement (Expert Role)

• Provide expert support to go‑to‑market design, including pricing logic, packaging strategy, and value‑based positioning.

• Serve as a technical and solution SME for Sales and Commercial teams on complex deals, enterprise opportunities, and strategic accounts.

• Develop or contribute to advanced solution narratives, demos, and competitive positioning materials for high‑stakes customer engagements.

Innovation & Emerging Technology Integration

• Continuously scan, assess, and integrate emerging technologies, platforms, and business models relevant to the company’s growth strategy.

• Apply research, experimentation, and industry insight to inform new solution concepts, pilots, and growth bets.

• Champion technically sound, customer‑informed innovation with a focus on practical application and scalable outcomes.

Cross‑Functional Influence & Advisory Leadership

• Influence outcomes through expertise, credibility, and thought leadership, rather than formal authority.

• Collaborate across Product, Engineering, Sales, Marketing, Operations, Legal, Regulatory, and Finance to solve complex, multi‑dimensional challenges.

• Mentor and inform peers and junior professionals informally or on project‑specific initiatives, without formal people‑management accountability.

Payer Market Expertise & VOC Leadership

• Serve as the subject-matter authority on Health Plan and Managed Care market dynamics, including commercial, Medicare Advantage, Medicaid, and ACA marketplace segments.

• Design and lead structured Voice of the Customer (VOC) programs — including advisory councils, customer interviews, win/loss analysis, and journey mapping — to capture payer workflows, unmet needs, and buying drivers; translate insights into prioritized solution requirements and strategic differentiation.

• Interpret and apply regulatory guidance relevant to health plans, including but not limited to CMS rules (STAR ratings, risk adjustment, MA/PD requirements), NCQA/HEDIS standards, interoperability mandates (e.g., CMS Interoperability and Prior Authorization Rule), and state-level insurance regulations; ensure solutions are designed for compliance and can serve as a regulatory differentiator in the market.

• Monitor the evolving payer regulatory landscape and proactively assess the business impact of proposed and final rules; brief internal stakeholders and embed regulatory intelligence into product roadmaps and go-to-market strategies.

• Build and maintain senior-level relationships with Health Plan executives, medical directors, pharmacy leaders, and operations leaders to establish Veradigm as a strategic partner, surface early signals of market change, and support commercial pipeline development.

Work Experience

• 4–7+ years growth strategy, product strategy, market research, sales strategy, or related roles.

• Experience in technology development, partner/alliance identification and formation, market sizing and product pricing

• Experience partnering with the marketing and sales organizations as well as having demonstrated successful leadership in high growth and established companies

• 5+ years direct experience working within or selling to Health Plans, Managed Care Organizations, or government health programs (Medicare Advantage, Medicaid, ACA marketplace)

• Demonstrated expertise in health plan regulatory frameworks including CMS STAR ratings, HEDIS/NCQA standards, risk adjustment, and prior authorization regulations; ability to translate regulatory requirements into solution design and go-to-market strategy

• Proven track record leading VOC programs (customer advisory boards, structured interviews, win/loss analysis, journey mapping) and converting customer insights into product strategy and commercial outcomes

Knowledge, Skills & Abilities

• Advanced leadership, project management, and prioritization skills within the healthcare IT industry.

• Ability to see the big picture and drive the strategy to execution while managing the production of an internal team.

• Must possess strong planning, execution, presentation, influencing, communication (verbal, written, and interpersonal), and multi-tasking skills.

• Ability to build and maintain relationships across the business and effectively interact with cross-functional business teams.

• Proven ability to execute in a matrixed organization and implementation of product roadmap, requirement documentation and connectivity partnerships.

• Deep subject-matter knowledge of Health Plan operations, including utilization management, network strategy, care management, quality improvement, and claims/payment integrity.

• Strong regulatory interpretation skills with demonstrated ability to read and synthesize CMS proposed and final rules, NCQA/HEDIS technical specifications, and state insurance mandates, and translate their implications into actionable product and GTM guidance for non-regulatory internal stakeholders.

• Skilled in designing and facilitating Voice of the Customer (VOC) research, including advisory councils, win/loss interviews, journey mapping, and ethnographic research; ability to synthesize qualitative and quantitative insights into strategic recommendations.

Travel

• Up to 25% travel may be required

Compensation Range:

Compensation for this job is subject to market conditions, geographic considerations, the candidate’s unique skills and experience, state and local laws, and budget. Our commitment to pay transparency is a testament to our dedication to creating a fair, equitable, and inclusive workplace. By continuously analyzing market trends, staying abreast of changes in state laws, and making budgetary adjustments accordingly, we strive to ensure that our compensation practices reflect the value we place on our associates’ unique contributions and support their professional growth.

Enhancing Lives and Building Careers

Veradigm believes in empowering our associates with the tools and flexibility to bring the best version of themselves to work and to further their professional development. Together, we are In the Network. Interested in learning more?

Take a look at our Culture, Benefits, Early Talent Program, and Additional Openings.

Visa Sponsorship is not offered for this position.

At Veradigm, our greatest strength comes from bringing together talented people with diverse perspectives to support the needs of healthcare providers, life science companies, health plans, and the patients they serve. The Veradigm Network is a dynamic, open community of solutions, external partners, and cutting-edge artificial intelligence technologies that provide advanced insights, technology, and data-driven solutions. Veradigm offers a comprehensive compensation and benefits package, including holidays, vacation, medical, dental, and vision insurance, company paid life insurance and retirement savings.

Veradigm’s policy is to provide equal employment opportunity and affirmative action in all of its employment practices without regard to race, color, religion, sex, national origin, ancestry, marital status, protected veteran status, age, individuals with disabilities, sexual orientation or gender identity or expression or any other legally protected category. Applicants for North American based positions with Veradigm must be legally authorized to work in the United States or Canada. Verification of employment eligibility will be required as a condition of hire. Veradigm is proud to be an equal opportunity workplace dedicated to pursuing and hiring a diverse and inclusive workforce.

From a "VEVRAA Federal Contractor" We request Priority Referral of Protected Veterans

This is an official Veradigm Job posting. To avoid identity theft, please only consider applying to jobs posted on our official corporate site.

Thank you for reviewing this Veradigm opportunity. Does this look like a great match for your skill set? If so, scroll on down and tell us more about yourself!