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)

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:

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

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

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.

• 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.

• National Medicare Advantage Plans
• Medicaid Managed Care Organizations
• Regional Health Plans
• Integrated Delivery Networks
• Value-Based Care Organizations
• Healthcare Services Companies

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

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

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

• Medical Record Review
• Digital Quality Management
• 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.

Build and manage strategic relationships with:

• Healthcare consulting firms
• BPO and managed services organizations
• Cloud providers
• Healthcare technology companies
• Channel and strategic partners

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

Establish a scalable commercial operating model covering:

• Sales forecasting
• Pricing and packaging strategy
• Territory planning
• Sales compensation
• Revenue analytics

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

Identify and develop opportunities across:

• New products and platform capabilities
• New customer segments
• Geographic expansion
• AI-enabled services
• Embedded AI solutions
• International partnerships

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

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

• Chief…