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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 ...

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

As of Aug 2, 2026, the average yearly pay for 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 a Vice President Payer Strategy job?

A Vice President of Payer Strategy is a senior executive responsible for developing and managing relationships with healthcare payers, such as insurance companies, government programs, and other reimbursement entities. They create strategies to optimize reimbursement rates, negotiate contracts, and ensure compliance with payer requirements. This role involves analyzing market trends, collaborating with stakeholders, and driving initiatives to improve financial performance and patient access to care. Their work helps healthcare organizations navigate the complex landscape of payer relationships while maximizing revenue and operational efficiency.

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

To excel as a Vice President Payer Strategy, you need deep expertise in health insurance markets, contract negotiation, healthcare finance, and strategic planning, typically backed by a relevant advanced degree such as an MBA or MHA. Familiarity with payer analytics software, claims management systems, and regulatory compliance platforms is often required. Strong leadership, negotiation, communication, and relationship-building abilities are key soft skills for this role. These skills ensure organizational success in securing favorable contracts, managing payer relationships, and navigating the complexities of the healthcare reimbursement landscape.

What are some common challenges faced by a Vice President Payer Strategy?

Vice Presidents of Payer Strategy often encounter challenges such as balancing organizational financial goals with shifting payer requirements, navigating complex contract negotiations, and staying ahead of evolving healthcare regulations. The role demands adaptability, quick decision-making, and the ability to build consensus across executive leadership, clinical teams, and payer organizations. You may also face the need to drive innovation in value-based care models while managing risk and ensuring sustainable growth. Tackling these challenges provides opportunities for significant impact on organizational performance and offers the chance to shape healthcare strategy at a high level.

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Vice President Payer Strategy jobs near you
Infographic showing various Vice President Payer Strategy job openings in the United States as of July 2026, with employment types broken down into 80% Full Time, and 20% Part Time. Highlights an 20% In-person, and 80% Remote job distribution, with an average salary of $157,532 per year, or $75.7 per hour.

VP Payer Strategy & Contracting

University of Vermont Health

South Burlington, VT • On-site

$288K - $433K/yr

Full-time

Posted 5 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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