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Vice President Payer Relations Jobs (NOW HIRING)

The Emily Program

VP of Payer Relations

Roseville, MN · On-site

$180K - $210K/yr

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 ...

Accanto Health

VP of Payer Relations

Roseville, MN · On-site

$180K - $210K/yr

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 ...

Phsorg

... 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 ...

Ellipsis Health, Inc

VP Payer Sales

San Francisco, CA · On-site

$180K - $220K/yr

Reporting to the Chief Growth Officer, Payer & PBM, the VP Payer Sales a high profile role responsible for driving growth of Ellipsis Health's Payer and PBM segments. This individual will seek new ...

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Vice President Payer Relations information

What does a Vice President of Payer Relations do?

A Vice President of Payer Relations is responsible for developing and managing relationships with health insurance companies and other payers to negotiate contracts, ensure favorable reimbursement rates, and resolve issues related to claims or coverage. They lead a team that works closely with both external payers and internal departments such as finance, billing, and compliance. Their work is crucial in optimizing revenue cycles, maintaining profitability, and ensuring patients have access to covered services. This role requires a deep understanding of healthcare regulations, payer policies, and the overall healthcare reimbursement landscape.

What are the key skills and qualifications needed to thrive as a Vice President of Payer Relations, and why are they important?

To excel as a Vice President of Payer Relations, you need deep knowledge of healthcare reimbursement, contract negotiation, and regulatory compliance, typically backed by an advanced degree in healthcare administration, business, or a related field. Familiarity with contract management systems, healthcare analytics platforms, and payer-provider data exchange technologies is crucial. Outstanding leadership, relationship-building, and strategic communication skills distinguish top performers in this role. These competencies are vital for securing favorable payer agreements, ensuring organizational profitability, and maintaining strong industry partnerships.

What is the difference between Vice President Payer Relations vs Director Payer Relations?

AspectVice President Payer RelationsDirector Payer Relations
ResponsibilitiesStrategic leadership, high-level negotiations, policy developmentOversees payer account management, contract negotiations, team supervision
Required CredentialsBachelor's degree, extensive experience, leadership skillsBachelor's degree, relevant experience, strong negotiation skills
Work EnvironmentExecutive-level meetings, strategic planning sessionsTeam management, client meetings, operational oversight

The Vice President Payer Relations focuses on strategic leadership and high-level negotiations with payers, while the Director Payer Relations manages day-to-day payer accounts and supervises teams. Both roles require relevant experience and strong negotiation skills, but the VP role involves broader strategic responsibilities and leadership within the organization.

How does a Vice President of Payer Relations typically collaborate with internal teams to optimize contract negotiations with insurance providers?

A Vice President of Payer Relations works closely with finance, legal, clinical, and business development teams to ensure that contract negotiations with insurance providers align with the organization's strategic and financial goals. This involves regular cross-departmental meetings to review data, discuss reimbursement strategies, and assess the impact of proposed terms on service delivery. By fostering open communication and leveraging the expertise of various departments, the VP ensures contracts are both competitive and compliant, ultimately supporting the organization's growth and operational efficiency.
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Vice President Payer Relations jobs near you
Infographic showing various Vice President Payer Relations job openings in the United States as of July 2026, with employment types broken down into 1% As Needed, 88% Full Time, 9% Part Time, and 2% Contract. Highlights an 84% Physical, 2% Hybrid, and 14% Remote job distribution.

VP Payer Strategy & Contracting

University of Vermont Health

South Burlington, VT • On-site

$288K - $433K/yr

Full-time

Posted 4 days ago

Job description

The Vice President, Payer Strategy, Contracting & Value-Based Care provides executive leadership for the University of Vermont Health Network's integrated payer strategy function. This role is responsible for the development, negotiation, implementation, and performance management of all payer relationships, including commercial, Medicare Advantage, Medicaid Managed Care, governmental, employer-based, and value-based care arrangements.
The Vice President serves as the organization's senior leader for payer strategy and market positioning, aligning traditional managed care contracting with population health, value-based care transformation, and financial sustainability goals. This executive leads enterprise efforts to optimize reimbursement, advance alternative payment models, strengthen payer partnerships, and accelerate the transition from fee-for-service to risk-based reimbursement models including strategies such as Direct to Employer, TPA, and organizational alignments and structures to support innovations.
The Vice President oversees contracting for hospitals, employed and affiliated physicians, clinically integrated networks, accountable care organizations, post-acute providers, and other network entities. The position serves as a key advisor to executive leadership on payer market dynamics, reimbursement strategy, healthcare policy developments, and value-based payment innovation. The role is responsible for balancing short-term revenue optimization with long-term strategic transformation toward accountable, high-value care delivery models.
Reports To: Senior Vice President, High Value Care
Key Internal Relationships: System Chief Financial Officer / Partner Presidents and CFOs / Chief Medical Officers / Population Health Service Organization Leadership / Revenue Cycle Leadership / Finance Leadership / Legal and Compliance / Data Analytics and Information Technology Leadership / Clinical and Operational Leadership
Roles reporting to this position:
• Strategic Payer Contracting & Regulatory Counsel
• Manager, Contracting & Network Management
• Manager, Contracting & Network Management
• Manager, Value-Based Care Program Operations
• Manager, Provider Relations & Contract Performance
• Payer Policy & Strategy Analyst
EDUCATION
Required
• Bachelor's Degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field.
Preferred
• Master's Degree (MBA, MHA, MPH, or equivalent).
• Juris Doctor (JD) strongly preferred.
EXPERIENCE
Required
• 10+ years of progressive leadership experience in payer contracting, managed care, healthcare finance, value-based care, or payer-provider strategy.
• Demonstrated success leading complex payer negotiations within a large health system, integrated delivery network, ACO, CIN, or payer organization.
• Experience overseeing both fee-for-service and value-based payment arrangements.
• Strong experience evaluating financial risk and reimbursement methodologies.

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