Position Overview:

Your Health is seeking an experienced and strategic Vice President of Payer Contracting to join our leadership team. This individual will play a crucial role in shaping and optimizing our payer contracting strategy, ensuring competitive and sustainable reimbursement rates that align with industry standards. The ideal candidate will have a deep understanding of payer negotiations within a primary care setting, with a proven track record of success in managing payer relationships and contracts.

Key Responsibilities:

- Payer Negotiation: Lead and manage all payer contracting efforts, including the negotiation of rates and terms with payers. Develop and implement strategies that optimize reimbursement and align with the company’s financial goals.

- Relationship Management: Maintain strong, positive relationships with payer organizations and professionals. Serve as the primary point of contact for payer discussions, ensuring effective communication and collaboration.

- Contract Management: Maintain a comprehensive roster of all payer agreements, including details of negotiated rates and terms. Ensure that contracts are up-to-date, accessible, and compliant with regulatory requirements.

- Renegotiation Strategy: Develop and maintain a routine schedule for contract renegotiation. Monitor industry trends and rate standards to ensure that Your Health remains competitive and aligned with market expectations.

- Revenue Management: Collaborate with the Senior Vice President of Finance and other leadership team members on revenue management activities, including financial forecasting, budgeting, and revenue cycle optimization.

- Compliance: Ensure all payer contracts comply with applicable laws, regulations, and company policies. Work closely with the legal and compliance teams to address any issues that arise.

- Reporting: Provide regular updates to the Senior Vice President of Finance on the status of payer contracts, negotiation progress, and overall payer strategy. Prepare detailed reports and presentations as needed.

Qualifications:

- Experience: Minimum of 5+ years of experience in payer relations within a primary care practice, with a strong background in payer contracting and negotiation.

- Knowledge: In-depth understanding of the healthcare payer landscape, particularly in primary care. Familiarity with industry standards and best practices in contract negotiation.

Skills:

- Strong negotiation and communication skills.

- Excellent organizational skills with the ability to manage multiple contracts and deadlines.

- Proficiency in data analysis and financial modeling related to payer contracts.

- Strategic thinking with the ability to align payer contracting efforts with overall company objectives.

Education: Bachelor’s degree in healthcare administration, finance, business, or a related field. Master’s degree preferred.

Other: Ability to work collaboratively with internal teams and external partners. Strong problem-solving skills and attention to detail.