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Commission Vice President Payer Strategy Jobs (NOW HIRING)

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Presbyterian Healthcare Services (PHS) seeks a strategic, influential executive to serve as Vice President of Payer Strategy for the Presbyterian Delivery System (PDS). This is a high-impact role at ...

0090 Presbyterian System Services

WI · On-site

$150 - $180/hr

Job Summary Presbyterian Healthcare Services (PHS) seeks a strategic, influential executive to serve as Vice President of Payer Strategy for the Presbyterian Delivery System (PDS). This high‑impact ...

Ellipsis Health

VP Payer Sales

San Francisco, CA · On-site

$180K - $220K/yr

Support operational and strategic efforts to build and grow our business across the health plan and ... The typical salary range for this role is $180,000 - $220,000 base plus commission and equity ...

Ellipsis Health, Inc

VP Payer Sales

San Francisco, CA · On-site

$180K - $220K/yr

Support operational and strategic efforts to build and grow our business across the health plan and ... The typical salary range for this role is $180,000 - $220,000base plus commission and equity ...

US Eye

Vice President, Payer Relations

FL · Remote

Payer Strategy and Executive Leadership * Develop and execute a comprehensive payer-relations ... The VP of Payer Relations carries out supervisory responsibilities in accordance with the ...

Accanto Health

VP of Payer Relations

Roseville, MN · On-site

$180K - $210K/yr

How VP of Payer Relations Empower Recovery: Enterprise Payer Strategy ... Develop and execute a unified payer strategy across The Emily Program. * Advise executive ...

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Commission Vice President Payer Strategy information

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$43.5K

$157.5K

$277.5K

How much do commission vice president payer strategy jobs pay per year?

As of Aug 26, 2026, the average yearly pay for commission vice president payer strategy in the United States is $157,532.00, according to ZipRecruiter salary data. Most workers in this role earn between $115,000.00 and $190,000.00 per year, depending on experience, location, and employer.

What is the difference between Commission Vice President Payer Strategy vs Payer Relations Manager?

AspectCommission Vice President Payer StrategyPayer Relations Manager
CredentialsTypically requires advanced degrees (MBA, Master’s), extensive industry experienceBachelor’s or Master’s degree, relevant industry experience
Work EnvironmentStrategic planning, executive meetings, high-level decision makingRelationship management, contract negotiations, day-to-day payer interactions
Employer & Industry UsageUsed in large healthcare organizations, insurance companies, and health systemsCommon in insurance firms, healthcare providers, and managed care organizations

The Commission Vice President Payer Strategy focuses on high-level strategic planning and negotiations with payers, while the Payer Relations Manager handles ongoing payer relationships and contract management. Both roles are vital in healthcare revenue cycle management but differ in scope and seniority.

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Commission Vice President Payer Strategy jobs near you
Infographic showing various Commission Vice President Payer Strategy job openings in the United States as of August 2026, with employment types broken down into 88% Full Time, 7% Part Time, and 5% Contract. Highlights an 57% Physical, 1% Hybrid, and 42% Remote job distribution, with an average salary of $157,532 per year, or $75.7 per hour.

VP-Payer Strategy

Presbyterian Healthcare Services

Austin, TX • On-site, Remote

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted yesterday

Presbyterian Healthcare Services rating

7.2

Company rating: 7.2 out of 10

Based on 164 frontline employees who took The Breakroom Quiz

345th of 893 rated healthcare providers

Job description

Location Address:
Remote OfficeAustin, TX 78701
Summary:
Presbyterian Healthcare Services (PHS) seeks a strategic, influential executive to serve as Vice President of Payer Strategy for the Presbyterian Delivery System (PDS). This is a high-impact role at the intersection of finance, strategy, and payer relations-responsible for shaping how the organization delivers sustainable growth in an increasingly complex reimbursement landscape.
This leader will define and execute a system-wide payor contracting and revenue optimization strategy across a diverse and integrated delivery network.
The Vice President will lead negotiations, advance value-based care models, and drive net revenue performance across hospitals, medical group, ambulatory services, and specialty service lines.
This is an ideal role for a seasoned healthcare executive who combines deep reimbursement expertise, strong financial acumen, and executive presence-with the ability to influence both internal stakeholders and external payer partners in a rapidly evolving healthcare environment.
Work Arrangement
• Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY.
• Hybrid: For individuals within 60 miles of Albuquerque, in-office presence is required Tuesday through Thursday.
Job Description:
Strategic Payor Leadership
  • Define and execute a system-wide payer contracting strategy aligned with growth, market positioning, and financial performance goals
  • Develop and implement a comprehensive managed care strategic and tactical plan with clear performance targets
  • Identify and advance innovative reimbursement models, including value-based and risk-based arrangements

Contracting & Negotiation Excellence
  • Lead and oversee negotiations of commercial and governmental managed care agreements to secure optimal reimbursement
  • Serve as authorized signatory for managed care contracts
  • Continuously evaluate contract performance and lead renegotiation or restructuring efforts as needed

Revenue Optimization & Financial Performance
  • Drive initiatives to enhance net revenue yield through contract optimization, recovery efforts, and performance monitoring
  • Analyze reimbursement trends and implement targeted interventions to address risk areas and improve outcomes
  • Contribute to financial forecasting, budgeting, and capital planning processes

Operational Oversight & Governance
  • Establish and oversee performance monitoring frameworks and reporting to track managed care outcomes
  • Ensure robust internal controls, compliance with regulatory requirements, and alignment with enterprise financial systems
  • Lead system configuration and optimization of contract management tools and reporting capabilities

Organizational Leadership & Collaboration
  • Lead, mentor, and develop a high-performing managed care and contracting team
  • Foster cross-functional collaboration across Finance, Revenue Cycle, Operations, Strategy, and Physician Integration
  • Serve as a trusted advisor to executive leadership, providing insights and recommendations on payor strategy and risk

Relationship Management & Market Influence
  • Build and sustain strong relationships with managed care organizations and key external stakeholders
  • Represent PHS in payer negotiations, regulatory discussions, and industry forums
  • Collaborate across the enterprise to strengthen market position and grow accretive service lines

Success Measures
Within the first 12-24 months, the Vice President will:
  • Strengthen Contract Performance: Improve reimbursement yield and contract effectiveness across the system
  • Advance Value-Based Strategy: Expand and optimize value-based agreements with measurable financial and quality outcomes
  • Enhance Revenue Integrity: Identify and execute net revenue improvement and recovery initiatives
  • Elevate Payer Relationships: Build strategic, durable relationships with key payor partners
  • Drive Organizational Alignment: Establish clear accountability, metrics, and governance for managed care performance

Additional Job Description:
Education
  • Required: Master's degree in Business, Healthcare Administration, Finance, or related field

Knowledge & Work Experience
  • Experience: Minimum of 15 years of progressive experience in payer strategy, managed care contracting, or healthcare finance
  • Leadership: Demonstrated success in senior leadership roles within integrated health systems or complex healthcare organizations
  • Reimbursement Expertise: Deep knowledge of reimbursement methodologies, including fee-for-service, value-based care, risk-sharing, and capitation models
  • Industry Acumen: Strong understanding of healthcare policy, regulatory environments, and evolving payment models

Core Competencies
  • Strategic Negotiator: Proven ability to lead high-stakes payer negotiations and secure favorable outcomes
  • Financial Acumen: Advanced analytical and financial modeling capabilities with strong business judgment
  • Enterprise Leader: Experience operating within complex, matrixed healthcare systems
  • Influential Communicator: Ability to translate complex financial concepts into actionable insights for executive and clinical leaders
  • Relationship Builder: Skilled at developing trust-based relationships with internal stakeholders and external partners
  • Change Agent: Demonstrated success leading transformation and driving results in dynamic, evolving environments
  • High Emotional Intelligence: Navigates conflict, complexity, and ambiguity with diplomacy and professionalism

Benefits
Benefits are effective day-one (for .45 FTE and above) and include:
  • Competitive salaries
  • Full medical, dental and vision insurance
  • Flexible spending accounts (FSAs)
  • Free wellness programs
  • Paid time off (PTO)
  • Retirement plans, including matching employer contributions
  • Continuing education and career development opportunities
  • Life insurance and short/long term disability programs

About Us
Presbyterian Healthcare Services is a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, it is the state's largest private employer with approximately 11,000 employees.
Presbyterian's story is really the story of the remarkable people who have chosen to work here. Starting with Reverend Cooper who began our journey in 1908, the hard work of thousands of physicians, employees, board members, and other volunteers brought Presbyterian from a tiny tuberculosis sanatorium to a statewide healthcare system, serving more than 700,000 New Mexicans.
We are part of New Mexico's history - and committed to its future. That is why we will continue to work just as hard and care just as deeply to serve New Mexico for years to come.
About New Mexico
New Mexico's unique blend of Spanish, Mexican and Native American influences contribute to a culturally rich lifestyle. Add in Albuquerque's International Balloon Fiesta, Los Alamos' nuclear scientists, Roswell's visitors from outer space, and Santa Fe's artists, and you get an eclectic mix of people, places and experiences that make this state great.
Cities in New Mexico are continually ranked among the nation's best places to work and live by Forbes magazine, Kiplinger's Personal Finance, and other corporate and government relocation managers like Worldwide ERC.
New Mexico offers endless recreational opportunities to explore, and enjoy an active lifestyle. Venture off the beaten path, challenge your body in the elements, or open yourself up to the expansive sky. From hiking, golfing and biking to skiing, snowboarding and boating, it's all available among our beautiful wonders of the west.
AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.

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About Presbyterian Healthcare Services

Sourced by ZipRecruiter

Presbyterian Healthcare Services exists to improve the health of patients, members and the communities we serve. We are a locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1,600 providers and nearly 4,700 nurses.

Industry

Hospitals

Company size

10,000+ Employees

Headquarters location

Albuquerque, NM, US

Year founded

1908

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