Executive VP, Population Health & Payer Strategy

CommonSpirit Health; Houston (TX); On-site; USD 130,872 - 184,598; Full time

Job summary

Baylor St. Luke’s Medical Center seeks a visionary healthcare executive to lead regional payer strategy, value-based care, and population health initiatives.

You will develop innovative reimbursement models across Medicare Advantage, Commercial, Marketplace, and Managed Medicaid, while guiding payer contracting, network strategy, and CIN/ACO operations. The ideal candidate has a track record of multi-state leadership, strong executive negotiation skills, and the ability to drive measurable

Qualifications

• Bachelor's degree required.
• Master's degree preferred.
• 10 years of progressive managerial and strategic leadership in payer/provider strategy, managed care, and population health.

Responsibilities

• Provide executive leadership for regional payer strategy, value-based care, and population health initiatives.
• Develop and execute innovative reimbursement models across Medicare Advantage, Commercial, Marketplace, and Managed Medicaid.
• Lead payer contracting, network strategy, ACOs, CINs, and population health operations.
• Build strategic partnerships to improve financial performance, quality outcomes, and sustainability.
• Align payer strategy with enterprise objectives while advancing provider network growth and alternative payment models.

Education

Bachelor's degree

Master's degree

Job description

Baylor St. Luke’s Medical Center seeks a visionary healthcare executive to lead regional payer strategy, value-based care, and population health initiatives.

You will develop innovative reimbursement models across Medicare Advantage, Commercial, Marketplace, and Managed Medicaid, while guiding payer contracting, network strategy, and CIN/ACO operations. The ideal candidate has a track record of multi-state leadership, strong executive negotiation skills, and the ability to drive measurable