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Payer Strategy Jobs (NOW HIRING)

Accanto Health

VP of Payer Relations

Roseville, MN · On-site

$180K - $210K/yr

Enterprise Payer Strategy * Develop and execute a unified payer strategy across The Emily Program. * Advise executive leadership on payer risks, reimbursement trends, and strategic opportunities.

The Emily Program

VP of Payer Relations

Roseville, MN · On-site

$180K - $210K/yr

Enterprise Payer Strategy * Develop and execute a unified payer strategy across The Emily Program. * Advise executive leadership on payer risks, reimbursement trends, and strategic opportunities.

AbbVie

Director, Channel Strategy USMAx

Irvine, CA · On-site

$182K/yr

Collaborate with the Payer Strategy, Pipeline, Trade, and Account teams to ensure that channel insights and deliverables are fit-for-purpose and actionable . Share accountability with cross ...

AbbVie

Director, Channel Strategy USMAx

Mettawa, IL · On-site

$182K/yr

Collaborate with the Payer Strategy, Pipeline, Trade, and Account teams to ensure that channel insights and deliverables are fit-for-purpose and actionable . Share accountability with cross ...

FOCUSPOINT

Manager, Payer Contracts

Valencia, CA · On-site

$107K - $172K/yr

Position: Manager, Payer Contracts Location: Los Angeles, CA Employment Type: Full Time ... Develop negotiation strategies, contract language recommendations, and financial terms aligned with ...

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How much do payer strategy jobs pay per year?

As of Jun 27, 2026, the average yearly pay for payer strategy in the United States is $100,896.00, according to ZipRecruiter salary data. Most workers in this role earn between $66,500.00 and $135,000.00 per year, depending on experience, location, and employer.

What is a Payer Strategy job?

A Payer Strategy job focuses on developing and implementing strategies to optimize market access, reimbursement, and pricing for healthcare products and services. Professionals in this role analyze payer landscapes, negotiate with insurance companies and government agencies, and ensure that products are covered and reimbursed effectively. They collaborate with cross-functional teams, including sales, marketing, and regulatory affairs, to align business objectives with payer requirements. The goal is to enhance patient access while maximizing revenue and maintaining compliance with industry regulations.

What are the typical responsibilities of someone working in a Payer Strategy role?

Professionals in Payer Strategy are responsible for developing and executing strategies to optimize relationships with health insurance payers, negotiate reimbursement contracts, and ensure organizational compliance with payer requirements. They often analyze market trends, assess payer performance metrics, and collaborate closely with clinical, financial, and legal teams to align contract terms with business objectives. This role frequently requires preparing data-driven presentations and recommendations for executive leadership. By managing these complex relationships and agreements, Payer Strategy professionals directly influence both the financial success and patient access to care within their organizations.

What are the key skills and qualifications needed to thrive in the Payer Strategy position, and why are they important?

To thrive in a Payer Strategy role, you need a strong background in healthcare economics, data analysis, and an understanding of health insurance and reimbursement models—often supported by a degree in business, public health, or a related field. Familiarity with contract management tools, claims analytics platforms, and healthcare regulatory systems such as CMS guidelines is common. Strategic thinking, negotiation skills, and the ability to build collaborative relationships are key soft skills for success. These abilities ensure effective payer partnerships, optimized reimbursement strategies, and alignment with broader organizational goals.

More about Payer Strategy jobs
What cities are hiring for Payer Strategy jobs? Cities with the most Payer Strategy job openings:
What are the most commonly searched types of Payer Strategy jobs? The most popular types of Payer Strategy jobs are:
What states have the most Payer Strategy jobs? States with the most job openings for Payer Strategy jobs include:
What job categories do people searching Payer Strategy jobs look for? The top searched job categories for Payer Strategy jobs are:
Payer Strategy jobs near you
Infographic showing various Payer Strategy job openings in the United States as of June 2026, with employment types broken down into 2% Internship, 1% As Needed, 44% Full Time, 52% Part Time, and 1% Contract. Highlights an 86% Physical, 2% Hybrid, and 12% Remote job distribution, with an average salary of $100,896 per year, or $48.5 per hour.

VP of Payer Relations

Accanto Health

Roseville, MN • On-site

$180K - $210K/yr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Posted 3 days ago

Job description

Our vision is a world of peaceful relationships with food, weight, and body image, where everyone with an eating disorder can experience recovery. We believe that exceptional, individualized care leads to lasting recovery from eating disorders. That's why our teams are comprised of compassionate, dedicated professionals from a variety of backgrounds who collaborate to provide the very best evidence-based care for our clients at all levels of care.
Position Overview
The Vice President of Payer Relations is a senior executive responsible for defining and leading The Emily Program's payer strategy across commercial, Medicaid/ Medicare, and other managed care partners. This leader ensures sustainable reimbursement, expanded access to care, and alignment between payer contracts and The Emily Program's specialized eating disorder care delivery model across all levels of care (inpatient, residential, PHP, IOP, outpatient, virtual services).
The VP serves as the organization's primary executive liaison with payers and leads all payer-facing strategy, including contract negotiations, reimbursement innovation, and payer performance governance. This is a transformational leadership role responsible for advancing The Emily Program's payer strategy from a transactional contracting model to an enterprise, strategic, and value-driven partnership model.
Salary Range: $180,000 - $210,000 Base Salary
Commensurate with experience and competencies of the role.
Location:
Remote - Must be located in the United States.
How VP of Payer Relations Empower Recovery:
Enterprise Payer Strategy
  • Develop and execute a unified payer strategy across The Emily Program.
  • Advise executive leadership on payer risks, reimbursement trends, and strategic opportunities.
  • Aligning payer strategy with organizational growth priorities, including new markets, services, and partnerships

Contracting & Negotiation Leadership
  • Lead all aspects of payer contracting, including:
    • In-network agreements
  • Out-of-network strategies and single case agreements
    • Contract renewals, amendments, and dispute resolution.
  • Structure contracts that appropriately reflect:
    • Acuity and complexity of eating disorder and behavioral health care
    • Length of stay considerations.
    • Level-of-care differentiation (RTC, PHP, IOP, outpatient, virtual services)
    • Partner closely with Legal and Compliance to mitigate regulatory and contractual risk.

Payer Relationship Management
  • Serve as the executive point of contact for national, regional, and local payer relationships.
  • Build long-term strategic partnerships with key payer stakeholders.
  • Lead executive-level discussions around:
    • Access to care
    • Medical necessity criteria
    • Authorization requirements
    • Network participation strategy
  • Act as escalation point for complex payer disputes or systemic issues.

Revenue & Performance Oversight
  • Partner with Revenue Cycle Management and Finance to:
    • Monitor reimbursement rates and revenue yield.
    • Assess denial trends and authorization challenges.
    • Ensure contract terms are operationalized effectively.
    • Improve net revenue realization.
    • Reduce denials and underpayments.
    • Develop payer scorecards and report for executive leadership.

Clinical & Operational Alignment
  • Partner with Clinical Leadership to ensure payer policies align with evidence-based care models.
  • Support advocacy around:
    • Medical necessity for eating disorder treatment.
    • Appropriate level-of-care placement
    • Continuity of care
  • Collaborate with Operations to ensure payer requirements are executable across all sites.

arket Intelligence & Innovation
  • Monitor payer policy, mental health parity enforcement, and behavioral health regulatory developments.
  • Lead strategy for:
    • Value-based care initiatives
    • Alternative payment models
    • Risk-based arrangements.
  • Identify opportunities to improve payer mix and expand access to covered services.

Education Qualifications:
  • Bachelor's degree in business, Healthcare Administration or related field, required. Advanced degrees (MBA, MHA, MPH, or JD), preferred.

Professional Qualifications: (Preferred)
  • 10+ years of experience in payer relations, managed care, or healthcare contracting.
  • Minimum 7 years in senior leadership roles with a track record of managing and developing successful teams.
  • Deep expertise in behavioral health reimbursement (strongly preferred: eating disorder treatment)
  • Demonstrated success negotiating complex payer agreements in multi-state environments.
  • Excellent analytical and problem-solving skills, with a data-driven approach to decision-making.
  • Effective communication and interpersonal skills, with the ability to collaborate effectively across departments.
  • Demonstrated success in creating revenue upside through payer strategy.
  • Strong command of challenges and risks in Health Plans, Hospital, and Provider Group markets.
  • Experience with:
    • Residential and sub-acute behavioral health reimbursement
    • Medicaid managed care across multiple states
    • Out-of-network and SCA negotiations
  • Prior relationships/experience with payers in one or more of the following footprint states (MN, OH, WA, PA, NC, GA).

What we offer:
Employee Benefits: We understand the importance of a well-rounded benefits package. That's why we're dedicated to providing a range of plans to meet your needs.
For full-time employees, we offer:
  • HSA and PPO insurance with HSA or FSA options (Blue Cross Blue Shield)
  • Dental insurance (Delta Dental)
  • Vision insurance (EyeMed)
  • Short-term and long-term disability insurance
  • Company-paid life insurance
  • 401(k) plan available two months after start date
  • Company 401(k) matching for up to 50% of your contribution, up to 6% of your compensation

Paid time off is a crucial part of maintaining work and life balance. Our generous PTO plan accrues annually and begins with your first whole pay period. Eligible employees enjoy seven paid holidays and one floating holiday in addition to their regular PTO.

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