Provider Network Strategy Lead – Wisconsin

Health Payment Systems, Inc.; Milwaukee (WI); Hybrid; USD 150,000 - 190,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

HSA with company contribution

401k/Roth with company match

PTO 15 days

Job summary

Health Payment Systems, Inc. is seeking a Vice President of Provider Network to lead strategy, contracting, and growth across Wisconsin. The role combines hands-on negotiation with high-level network expansion and pricing optimization.

You will collaborate with actuarial and analytics teams to refine pricing, maximize access, and improve unit economics while expanding relationships with health systems, hospitals, and independent providers. This hybrid role requires onsite Milwaukee days.

Qualifications

• Bachelor’s degree in Business Administration or Healthcare Administration.
• 10+ years of management experience in provider network development.
• Proven relationships within the Wisconsin healthcare provider market.
• Experience negotiating provider agreements and pricing structures.

Responsibilities

• Define and execute provider network strategy across the Wisconsin market.
• Identify and prioritize provider targets to expand network coverage across geographies and specialties.
• Lead negotiation and structuring of provider contracts, including rates, reimbursement models, and SLAs.
• Oversee network development with actuarial and provider relations teams to evaluate pricing, assess performance, and inform contracting strategy.
• Use data to identify cost-saving opportunities, renegotiation targets, and network gaps.
• Build and maintain relationships with hospitals, health systems, and independent providers.
• Partner with Provider Operations to resolve high-priority provider issues and improve network performance.
• Drive initiatives that improve unit economics, affordability, and network efficiency.
• Deliver alternative solutions (e.g., PayMedix) when full contracting isn’t feasible to maintain access.

Skills

Provider network development

Provider contracting

Pricing strategies

Relationship management

Education

Bachelor's in Business Administration

Bachelor's in Healthcare Administration

Job description

Health Payment Systems, Inc. is seeking a Vice President of Provider Network to lead strategy, contracting, and growth across Wisconsin. The role combines hands-on negotiation with high-level network expansion and pricing optimization.

You will collaborate with actuarial and analytics teams to refine pricing, maximize access, and improve unit economics while expanding relationships with health systems, hospitals, and independent providers. This hybrid role requires onsite Milwaukee days.