VP Payer Contracting

Job Summary: 
The Vice President of Payer Contracting provides strategic and operational leadership for all payer contracting initiatives across the health system. This executive is responsible for developing, negotiating, and managing commercial and government payer agreements that align with the organization’s high value care strategy, operations, and advances the organization’s commitment to value-based care, quality outcomes, and financial sustainability. The VP will play a pivotal role in shaping payer partnerships that reward high-quality, efficient care delivery and support the system’s transformation toward risk-based and population health models. This includes leading contracting for hospitals, physician enterprise and post-acute facilities within the health system.    

Education:   
Bachelor's degree in business, Healthcare Administration, Finance, or related field required. Master’s degree (MBA, MHA, MPH, or equivalent) is strongly preferred. Juris Doctor (JD) is required.

Experience:  
10+ years of progressive experience in managed care contracting within a health system, integrated delivery network (IDN), or payer organization. Proven success in developing and negotiating value-based and risk-sharing contracts. Strong understanding of payer reimbursement methodologies, population health models, and alternative payment programs (e.g., ACOs, bundled payments, shared savings). Experience conducting significant managed care payer negotiations. Analytic-minded leader with depth of experience in contract modeling and assessing financial implications of new contracting structures. Possess understanding of emerging trends in value-based contracting and payment innovation, such as physician compensation redesign, patient centered medical homes, bundled payments, and commercial, federal and state ACO programs.