VP of Sales, US
Own a $4M annual new-revenue number for the US business. This is a closing seat, not a caretaking seat. You build the team, you build the pipeline, and you put signed revenue on the board.
The role
What this job actually is
Let us be direct about what this job is. You own $4M in new annual revenue for the US business, and you are measured on closed revenue, not pipeline theatre, not activity dashboards, not how good the forecast deck looks. You will close your own deals and you will build a team that closes theirs. Your first signed deal lands inside 90 days, whatever its size, because a revenue leader who cannot close early cannot coach closing later. In return you get a firm that actually delivers what you sell: senior partners on every account, an AI suite running in production, and a conference and content engine that puts you in front of buyers. Commission is uncapped and it accelerates once you pass the number.
Ownership
What you will own
$4M in new annual revenue
The number. Own it, forecast it, and close it. Segment coverage, quota design and territory allocation all serve that one figure.
Your own closed deals
This is a player-coach seat. You carry deals personally, especially the enterprise and multi-site opportunities where a VP has to be in the room.
A team that closes
Hire, coach and hold accountable. Sellers who miss get coached hard and fast; sellers who win get paid and promoted.
Forecast you can defend
Stage discipline, real coverage ratios, and a call that lands within a tight band. Surprises are a failure of leadership, not of luck.
Pipeline creation, not pipeline waiting
Inbound is a bonus. Outbound into named accounts, association channels including CASP and BHCOE, and the conference program is the engine.
Deals delivery can actually keep
Price with discipline and scope honestly. Revenue that churns in year two was never revenue.
Ramp
Your first 90 days
First 30 days
Get in front of buyers immediately. Learn the offering, the proof and the pricing, take over the live pipeline, and personally work the top opportunities.
By day 60
Territory and quota design published, team gaps named, and your own deals moving through late stage.
By day 90
At least one signed deal closed by you, forecast live and defensible, and the hiring plan underway. The first close is not optional.
Requirements
What we look for
- MANDATORY: one signed deal inside your first 90 days. Any size. Every seller here clears that bar, and it is how we know the hire is working.
- Ten or more years selling healthcare revenue cycle, medical coding, credentialing or healthcare technology into provider organizations
- Five or more years leading sales teams, with a track record of hiring, coaching and retaining quota-carrying sellers
- Personally carried and consistently exceeded a multi-million dollar new-business number before leading others to it
- Built go-to-market process from the ground up: qualification frameworks, stage discipline, forecast rigor and pricing governance
- Credible in the room with provider CFOs, VPs of Revenue Cycle, practice owners and BCBA founders, and able to hold a technical conversation about denials, AR and coding accuracy
- Comfortable in a services and technology hybrid where the product is delivered by people as well as software
Bonus
Strong plus, not required
- Depth in ABA and behavioral health, FQHC and community health, or hospital revenue cycle
- Experience selling alongside an offshore or nearshore delivery organization
- Familiarity with autonomous coding, denial prediction or credentialing platforms
- An existing network across provider finance leadership or the ABA and autism services market
The money
How you get paid
We pay for closed revenue. Not activity, not pipeline volume, not effort. If you put signed business on the board, you should earn more here than you would carrying the same bag somewhere larger and slower.
Commission structure
- Uncapped commission. There is no ceiling and no clawback on the upside. Close more, earn more, every quarter.
- Accelerators past target. Your rate steps up once you clear quota, so the back half of a strong year pays disproportionately.
- Quarterly payout. You are paid on signed and booked revenue on a quarterly cadence, not held to an annual true-up.
- First-close bonus. Land your first signed deal inside 90 days and it is recognised separately from your ramp.
- Multi-year deals count in full. We sell multi-year engagements and you are compensated on the contract you signed.
Base, commission rate and accelerator thresholds are confirmed in the first conversation and calibrated to experience. What does not change is the structure: uncapped, quarterly, and weighted toward people who close.
Accountability
How this role is measured
| Measure | What it means |
|---|---|
| $4M new annual revenue | The number. Everything else is a leading indicator. |
| First close inside 90 days | One signed deal, any size, no exceptions. |
| Forecast accuracy | Called versus closed, quarter after quarter. |
| Team attainment | Percentage of sellers at or above plan. |
| Pipeline coverage | Qualified coverage against target by segment. |
| Net revenue retention | Shared with Client Services. Growth that churns does not count. |
Why ASP-RCM
Why this seat is different
We are senior-led by design. A senior partner is named on accounts and shows up in the work, which is why clients renew and why this role carries real authority rather than a title. Our AI suite is in production, not in a roadmap deck, and our compliance posture is independently audited: SOC 2 Type II with HITRUST, ISO 27001 and HIPAA.
We pay for certifications and run upskilling cohorts, because coding and revenue cycle are crafts that need investment. You will work across Dallas HQ, six US states and Chennai, India, with colleagues who have run these functions at scale.