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Vp Payer Relation Jobs (NOW HIRING)

Vice President, Payor

Basking Ridge, NJ · On-site

$150K - $160K/yr

Vice President, Payor Location : Basking Ridge, NJ preferred; remote locations will be considered ... Commercial/ Payor Relations Travel: Up to 25%, including clinic markets and payer/vendor meetings ...

VP Payer Sales

San Francisco, CA · On-site

$180K - $220K/yr

The VP Payer Sales will be passionate about our mission of providing high‑quality, cost‑effective, scalable AI solutions at scale. Responsibilities Responsible for increasing the customer base ...

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 ...

The Vice President of Payer Relations is responsible for developing and leading the organization's payer strategy across its ophthalmology practices, ambulatory surgery centers, and affiliated ...

$150K - $160K/yr

Commercial/ Payor Relations Travel : Up to 25%, including clinic markets and payer/vendor meetings ... The Vice President, Payer leads the organization's payer contracting, network strategy, and market ...

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 ...

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 ...

... Relations and Business Development. Executive and governance interactions: Advises the US Executive Team, MAPA Leadership Team, US Pricing Committee and relevant portfolio and launch forums on payer ...

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Vice President, Payer Relations & Contracting

Brentwood, TN

IVX Health
Health Care and Social Assistance • 51 - 200 employees

Full-time

Re-posted 7 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

Employment Type: Full Time, W-2
 
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.

What IVX Health employees say

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