Senior Vice President (SVP) – Business Development

Location: United States | Preferred: Silicon Valley, Boston, New York, Dallas, Nashville, or Remote Reports To: Chief Executive Officer (CEO)

About N-21.ai

N-21.ai is building the enterprise Agentic AI platform for regulated healthcare and life sciences.

Our flagship platform, Chiral, combines domain-specific AI agents, regulatory intelligence, intelligent workflow automation, and AI-enabled managed services to transform how payers, providers, life sciences organizations, and healthcare services companies operate.

Our focus areas include:

• Medicare Advantage
• Medicaid Managed Care
• ACA Exchange Plans
• Value-Based Care
• Risk Adjustment and RADV
• Quality Management
• Payment Integrity
• Prior Authorization
• Medical Record Intelligence
• Regulatory Operations

Our mission is to build the operating system for AI-native healthcare enterprises.

The Opportunity

We are looking for a high-impact Senior Vice President – Business Development to build and lead N-21.ai's commercial growth engine.

This is a strategic, entrepreneurial, and highly hands-on executive role for a proven healthcare technology leader who can:

• Create and execute a scalable go-to-market strategy
• Build enterprise revenue across software and AI-enabled services
• Develop strategic partnerships across the healthcare ecosystem
• Establish repeatable sales and revenue operations
• Build trusted C-suite relationships
• Help define and shape a new category at the intersection of Healthcare, Agentic AI, and Intelligent Managed Services

The successful candidate will work closely with the CEO, CRO, Board, and executive leadership team to define and execute the company's commercial strategy through Series A and beyond.

This is a builder's role—ideal for an executive who thrives in high-growth environments and is passionate about creating markets, not simply selling into existing ones.

Key Responsibilities

1. Commercial Strategy & Growth

· Define and execute N-21.ai's short-term and long-term commercial growth strategy.

· Build annual and multi-year revenue plans across platform and services businesses.

· Own ARR, services revenue, pipeline, and commercial growth targets.

· Develop scalable, repeatable, industry-specific GTM playbooks.

· Identify new markets, segments, products, and revenue opportunities.

· Translate market intelligence into actionable commercial strategies.

2. Enterprise Sales Leadership

Build and lead enterprise sales across:

· National Medicare Advantage Plans

· Medicaid Managed Care Organizations

· Regional Health Plans

· Integrated Delivery Networks

· Provider Groups

· Value-Based Care Organizations

· Life Sciences Organizations

· Healthcare Services Companies

Own the complete enterprise sales lifecycle—from executive engagement and discovery through solution alignment, commercial negotiation, contracting, and expansion.

3. AI-Enabled Managed Services Growth

Develop and scale a services-led growth model powered by the Chiral platform.

Build repeatable AI-enabled managed service offerings across areas such as:

· Risk Adjustment

· RADV

· Medical Record Review

· Digital Quality Management

· Regulatory Intelligence

· Prior Authorization

· Care Management

· Clinical Operations

The objective is to create a strong combination of recurring platform revenue and high-value AI-enabled services, accelerating customer adoption and expansion.

4. Strategic Partnerships & Ecosystem Development

Build and manage strategic relationships with:

· Healthcare consulting firms

· BPO and managed services organizations

· Cloud providers

· EHR vendors

· Healthcare technology companies

· System integrators

· Channel and strategic partners

Lead partnership negotiations, joint GTM strategies, co-selling initiatives, and ecosystem development.

5. Revenue Operations & Commercial Excellence

Establish a scalable commercial operating model covering:

· Sales forecasting

· Pipeline management

· Pricing and packaging strategy

· Customer segmentation

· Territory planning

· Sales compensation

· CRM optimization

· Revenue analytics

· Sales performance management

Build the discipline, systems, processes, and metrics required to scale a high-performing commercial organization.

6. Market Development & New Growth Vectors

Identify and develop opportunities across:

· New products and platform capabilities

· New customer segments

· Geographic expansion

· AI-enabled services

· Platform licensing

· Embedded AI solutions

· International partnerships

Continuously evaluate new market opportunities and revenue models that strengthen N-21.ai's long-term competitive position.

7. Executive Customer Relationships

Build trusted relationships with senior healthcare and enterprise decision-makers, including:

· CEOs

· CIOs

· Chief Medical Officers

· Chief Digital Officers

· CFOs

· Chief Strategy Officers

· Clinical and Operations Leaders

Represent N-21.ai at executive forums, industry events, strategic meetings, and key customer engagements.

8. Marketing & Market Positioning

Partner closely with Marketing and executive leadership to strengthen market visibility through:

· Thought leadership

· Industry positioning

· Demand generation

· Account-Based Marketing (ABM)

· Executive events

· Product launches

· Analyst relations

· Market education

Help position N-21.ai and Chiral as a category-defining platform in Agentic AI for regulated healthcare.

9. Customer Expansion & Strategic Growth

Drive long-term customer value through:

· Executive sponsorship

· Expansion and upsell strategies

· Cross-sell opportunities

· Renewals and retention

· Customer advocacy

· Reference programs

· Strategic account development

Required Qualifications

· 15 years of leadership experience in healthcare technology, healthcare services, enterprise technology, or a related field.

· 10 years of experience in enterprise sales, business development, commercial strategy, or revenue leadership.

· Proven experience selling complex enterprise solutions, including $500K–$10M deals.

· Deep understanding of one or more of the following:

• Medicare Advantage
• Medicaid Managed Care
• Value-Based Care
• Risk Adjustment
• Healthcare Operations

· Demonstrated experience building commercial organizations from early stage through scale.

· Proven track record of achieving or exceeding revenue targets.

· Strong executive presence and ability to engage C-suite decision-makers.

· Experience building strategic partnerships and ecosystem relationships.

· Ability to operate effectively with founders, CEOs, Boards, investors, and cross-functional leadership teams.

Preferred Experience

Experience in one or more of the following areas is highly preferred:

· Agentic AI

· Generative AI

· Healthcare AI

· Risk Adjustment and RADV

· Quality Management

· Population Health

· Digital Health

· SaaS

· Enterprise AI Platforms

· Healthcare Services

· Managed Services

Startup experience from Seed through Series B is highly desirable.

Leadership Profile

The ideal candidate is:

· A builder, not simply an operator

· Entrepreneurial and commercially driven

· Strategic yet highly execution-oriented

· Customer-obsessed

· Comfortable operating in ambiguity

· Data-driven in decision-making

· An exceptional executive communicator

· A strong cross-functional leader

· Highly accountable

· Action-oriented with a strong bias for execution

· A skilled negotiator and relationship builder

Success in the First 24 Months

Success will be measured by the ability to:

· Achieve annual revenue targets across platform and AI-enabled services.

· Build a qualified enterprise pipeline exceeding 5x annual quota.

· Close multiple marquee payer, provider, and healthcare enterprise customers.

· Establish strategic partnerships with leading healthcare ecosystem players.

· Launch and scale repeatable AI-enabled managed services offerings.

· Build a predictable and measurable enterprise sales process.

· Establish scalable customer success, expansion, and retention processes.

· Increase customer expansion and lifetime value.

· Build and lead a high-performing, world-class commercial organization.

· Strengthen N-21.ai's market visibility and category leadership.

Why Join N-21.ai?

This is an opportunity to:

· Shape the future of Agentic AI in regulated healthcare.

· Help build a category-defining company from the ground up.

· Work at the intersection of AI, healthcare, enterprise technology, and managed services.

· Influence company strategy, product direction, commercial growth, and market positioning.

· Work alongside leaders shaping the future of healthcare transformation.

· Receive meaningful equity and participate in the creation of long-term enterprise value.

This is one of the most strategically important leadership roles at N-21.ai.

The SVP – Business Development will play a central role in building a durable growth engine that combines recurring platform revenue, strategic enterprise partnerships, and high-value AI-enabled managed services.

Apply / Connect

If you are a proven healthcare technology and enterprise growth leader who can build markets, create strategic relationships, and scale a high-growth commercial organization, we would love to hear from you.

#Hiring #ExecutiveHiring #SVPBusinessDevelopment #BusinessDevelopment #HealthcareAI #AgenticAI #ArtificialIntelligence #GenerativeAI #HealthTech #HealthcareTechnology #MedicareAdvantage #Medicaid #ValueBasedCare #RiskAdjustment #RADV #DigitalHealth #HealthTechLeadership #EnterpriseSales #SaaS #HealthcareInnovation #AILeadership #StrategicPartnerships #GoToMarket #RevenueGrowth #StartupLeadership #ExecutiveLeadership #N21AI #Chiral