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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 ...

0090 Presbyterian System Services

WI · On-site

$150 - $180/hr

... Vice President of Payer Strategy for the Presbyterian Delivery System (PDS ... This high‑impact role sits at the intersection of finance, strategy, and payer relations ...

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Vice President Payer Relations information

What does a vice president 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 payer relations?

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 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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What are the most commonly searched types of Payer Relations jobs? The most popular types of Payer Relations jobs are:
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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 August 2026, with employment types broken down into 91% Full Time, and 9% Contract. Highlights an 91% In-person, and 9% Remote job distribution.

Vice President, Payer Relations & Contracting

IVX Health

Brentwood, TN

Full-time

Posted 4 days ago

IVX Health rating

5.8

Company rating: 5.8 out of 10

Based on 7 frontline employees who took The Breakroom Quiz

Job description

The Vice President, Payer Relations & Contracting leads IVX Health's national payer strategy, contracting, reimbursement optimization, and health plan partnerships. This executive will drive network expansion, negotiate payer agreements, improve reimbursement performance, and strengthen relationships with national and regional health plans.
 
As a member of the Growth Leadership Team, this leader partners across Operations, Revenue Cycle, Finance, Legal, and Market Development to expand patient access, improve financial performance, and support enterprise growth.
 
Key ResponsibilitiesPayer Strategy & Contracting
  • Lead IVX's national payer contracting and network access strategy.
  • Negotiate and manage agreements with commercial, Medicare Advantage, Medicaid, and regional health plans.
  • Expand payer participation, improve reimbursement economics, and support new market growth.
  • Build executive relationships with key payer organizations and position IVX as a preferred site-of-care partner.
Reimbursement & Performance
  • Own enterprise reimbursement strategy and contract performance.
  • Identify opportunities to improve reimbursement, prevent underpayments, and strengthen contract compliance.
  • Monitor payer policy, medical necessity, and reimbursement trends affecting patient access and revenue.
  • Partner with Revenue Cycle, Finance, Operations, and Legal to address reimbursement risks and opportunities.
Strategic Partnerships
  • Serve as IVX's executive liaison to payer organizations.
  • Lead payer business reviews and strategic planning discussions.
  • Support select employer, TPA, and alternative reimbursement partnerships.
  • Identify opportunities to expand payer collaboration and value creation.
Leadership & Collaboration
  • Align payer strategy across Growth, Operations, Clinical, Revenue Cycle, Finance, Legal, and Analytics teams.
  • Translate contractual commitments into operational execution.
  • Lead and develop the payer strategy function.
  • Establish KPIs tied to network growth, reimbursement performance, and enterprise objectives.
QualificationsRequired
  • 10+ years of healthcare leadership experience in payer relations, managed care contracting, reimbursement strategy, or network development.
  • Bachelor's degree required.
  • Proven success negotiating payer contracts and expanding network access.
  • Experience supporting ambulatory, infusion, specialty, or alternative site-of-care healthcare organizations.
  • Deep knowledge of managed care, reimbursement, specialty drug economics, payer operations, and medical policy.
  • Strong executive communication, relationship-building, and financial acumen.
Preferred
  • Experience in infusion services, specialty pharmacy, ambulatory care, or provider organizations.
  • Established relationships with major national payers including UnitedHealthcare, Cigna, Aetna, Elevance, BCBS plans, and Humana.
Success Measures
  • Expanded payer access and covered lives.
  • Improved reimbursement rates and contract performance.
  • Successful payer negotiations and renewals.
  • Strong executive payer relationships.
  • Margin improvement and reimbursement optimization.
  • Achievement of growth and financial goals.

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