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The Vice President of Payer Contracting provides strategic and operational leadership for all payer contracting initiatives across the health system. This executive is responsible for developing, negotiating, and managing commercial and government payer agreements that align with the organization’s high value care strategy, operations, and advances the organization’s commitment to value-based care, quality outcomes, and financial sustainability. The VP will play a pivotal role in shaping payer partnerships that reward high-quality, efficient care delivery and support the system’s transformation toward risk-based and population health models. This includes leading contracting for hospitals, physician enterprise and post-acute facilities within the health system.
Job Responsibility:
Provides strategic and operational leadership for all payer contracting initiatives across the health system
Developing, negotiating, and managing commercial and government payer agreements that align with the organization’s high value care strategy, operations, and advances the organization’s commitment to value-based care, quality outcomes, and financial sustainability
Shaping payer partnerships that reward high-quality, efficient care delivery and support the system’s transformation toward risk-based and population health models
Leading contracting for hospitals, physician enterprise and post-acute facilities within the health system
Requirements:
Bachelor's degree in business, Healthcare Administration, Finance, or related field required
Master’s degree (MBA, MHA, MPH, or equivalent) is strongly preferred
Juris Doctor (JD) is required
10+ years of progressive experience in managed care contracting within a health system, integrated delivery network (IDN), or payer organization
Proven success in developing and negotiating value-based and risk-sharing contracts
Strong understanding of payer reimbursement methodologies, population health models, and alternative payment programs (e.g., ACOs, bundled payments, shared savings)
Experience conducting significant managed care payer negotiations
Analytic-minded leader with depth of experience in contract modeling and assessing financial implications of new contracting structures
Possess understanding of emerging trends in value-based contracting and payment innovation, such as physician compensation redesign, patient centered medical homes, bundled payments, and commercial, federal and state ACO programs
What we offer:
Relocation support is available to a final candidate who does not already live in the region served by UVM Health
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