Shiva Jones
Healthcare growth and partnerships leader with 15+ years of experience scaling strategic partnerships across payers, digital health, employers, and healthcare ecosystems. Proven track record of transforming emerging healthcare solutions into scaled commercial businesses, securing partnerships that expanded access to more than 70M lives and contributing to a successful acquisition. Brings a builder’s mindset and deep executive relationships to help organizations accelerate market adoption, drive ecosystem growth, and execute high-impact GTM strategies. Passionate about the role of AI in reshaping healthcare delivery and outcomes, including collaboration with Oura Health’s AI team to explore how intelligent systems can improve cost, access, engagement, and clinical outcomes at scale.
Work History
Head of Health Plan and Employer Partnerships
1 Year 1 Month- Built and led 0→1 commercial payer go-to-market strategy from product definition through execution
- Achieved $1.4M in revenue in first month post first national payer launch through effective program implementation. Trained more than 500 payer sales and account teams to maximize program impact.
- Executed first national health plan contract under tight deadline with built-from-scratch commerce infrastructure
- Collaborated with AI team to assess LLM capabilities and determine development priorities for health plan clients.
- Developed V1, first enterprise healthcare program for Oura
Healthcare GTM Advisor
2 Years 6 Months• Consulted for two early-stage digital health companies; one focused on care delivery, one in care navigation
• Led sales, growth, and strategy engagements: shaped initial GTM, built and pitched the solution to health plan and employer targets, made warm introductions across the ecosystem
• Created marketing materials, ROI frameworks, and tailored messaging; advised on conference strategy and industry presence
• Advised numerous early-stage founders informally and in structured engagements on health plan and employer GTM, broker strategy, and product-market fit
VP, Business Development
5 Months- Built payer strategy; advanced 6 health plans to finalist stage
- Assisted in acquisition efforts for Hazel Health. Supported negotiations with largest Blue Plan. Contributed to closing processes.
- Facilitated cross-functional partnerships with product and engineering teams to optimize care management functionalities.
- 1 of 3 employees retained
Vice President, Health Plan Sales
3 Years 6 Months- Increased health plan channel revenue by 85% by leading Brightline's new and existing health plan strategy nationally
- Executed commercial contracts with 3 national payers, 4 regional blue plans and one TPA- totaling 70M covered health plan lives and allowed for the onboarding of 600 employer clients.
- Drafted comprehensive RFP leading to finalist meeting for CA State contract, TCV $70M
- Created an ROI statement and calculator to enhance strategic decision-making for health plan initiatives.
- Optimized billing process and contracting by designing a CPT code strategy impacting subclinical and clinical services
- Established and led schools vertical
Associate VP, Commercial
2 Years 3 Months- Closed $400K net profit; top producer Q1/Q2 2020
- Built sales systems and managed portfolio of 30+ employer clients
Business Change Manager
1 Year 9 Months- Led 5 McKinsey-partnered growth initiatives resulting in 10% channel growth
- Managed TPA relationships, compliance oversight, and executive reporting dashboards
Business Analyst II
3 Years 6 Months- Awarded Outstanding Contribution to California for enterprise growth reporting and Salesforce analytics leadership
Sales Support Specialist
1 Year 6 MonthsEducation
MBA - Finance
BA - Political Science
Skills
Accomplishments
- $1.4M revenue generated in first month launching national health plan channel at Oura
- Closed contracts covering 70M+ health plan lives and led $70M state RFP finalist engagement at Brightline
Timeline
Head of Health Plan and Employer Partnerships
VP, Business Development
Healthcare GTM Advisor
Vice President, Health Plan Sales
Associate VP, Commercial
Business Change Manager
Business Analyst II
Sales Support Specialist
San Diego State University
Saint Mary's College of California
AI & TECHNOLOGY
- Work closely with Oura’s AI team to evaluate LLM capabilities and determine what to build for health plan clients, identifying gaps in care delivery and process
- Built an AI-powered application using Lovable, exploring agent-based workflows in healthcare contexts
- Intermediate understanding of how large language models work; actively enrolled in coursework to deepen technical knowledge
Additional Experience
- Zenefits (Client Support Analyst)
- Anthem (Sales Support Specialist)
- Boies Schiller Flexner (Paralegal)
- Shamieh Law (Legal Assistant)