Vice President of Payer Strategy

Indenovo Global Search & Selection; United States; Remote; USD 180,000 - 320,000; Full time

Job summary

Indenovo Global Search & Selection is partnering with a growing ABA services provider to hire a Vice President of Payer Strategy. You will lead enterprise payer strategy, contracts, and reimbursement optimization to expand access and improve contract performance.

The role requires deep expertise in managed care, payer economics, and negotiation at senior levels, with cross-functional collaboration across Finance, Revenue Cycle, Clinical Operations, and Growth. Remote with standard hours.

Qualifications

• 10+ years in managed care, healthcare contracting, or payer strategy.
• Experience leading complex payer negotiations and senior-level relationships.
• Knowledge of reimbursement methodologies and provider-network strategy.
• Ability to inform strategy with data, analytics, and market intel.

Responsibilities

• Set enterprise payer strategy aligned with growth and financial goals.
• Develop multi-year payer contracting and reimbursement roadmaps.
• Build relationships with commercial insurers and Medicaid MCOs.
• Lead payer contract negotiations, renewals, and strategic discussions.
• Monitor reimbursement trends and optimize contract terms for margin.
• Establish reporting metrics for payer performance and initiatives.
• Advise executives on payer-market dynamics and investment priorities.
• Represent the organization in senior-level payer discussions.

Skills

Executive communication

Negotiation

Presentation skills

Cross-functional collaboration

Financial modeling

Payer strategy

Education

Bachelor’s or Master’s degree in Healthcare Administration, Business, Finance, or related field

Job description

Our client is a growing provider of Applied Behavior Analysis (ABA) services for children with autism and their families. The organization’s clinical and operational teams work collaboratively to expand access to high-quality care, support meaningful client outcomes, and build sustainable infrastructure for continued growth.

Position Overview

The Vice President of Payer Strategy will own and lead the organization’s enterprise payer strategy, payer contracting, reimbursement optimization, and strategic payer partnerships. This executive leader will establish the commercial framework necessary to strengthen payer relationships, improve contract performance, mitigate reimbursement risk, and support sustainable expansion of ABA services across markets.

The VP will serve as the senior leader for payer strategy and work in close partnership with executive leadership, Finance, Revenue Cycle Management, Clinical Operations, and Growth. The successful candidate will bring deep expertise in managed care, healthcare contracting, reimbursement strategy, and payer economics, alongside the executive presence to influence senior payer stakeholders and internal leaders.

Key Responsibilities

• Set and lead the organization’s enterprise payer strategy in alignment with growth objectives, financial performance, market access, and client-service priorities.
• Develop a multi-year payer contracting and reimbursement roadmap, including market-entry considerations, contract optimization priorities, and risk-mitigation strategies.
• Build and maintain senior-level relationships with commercial insurers, Medicaid managed care organizations, and other health plans.
• Serve as the executive escalation point for strategic payer matters, including contract disputes, reimbursement concerns, payer policy changes, network issues, and operational barriers.
• Lead complex payer contract negotiations, renewals, amendments, and strategic commercial discussions.
• Use financial modeling, contract economics, market intelligence, clinical value propositions, and operational data to secure favorable reimbursement structures and contract terms.
• Evaluate reimbursement rates, payer performance, utilization patterns, contract terms, and policy impacts to identify opportunities to enhance margin, reduce reimbursement erosion, and improve access to services.
• Establish clear reporting and performance metrics for payer relationships, contract performance, reimbursement trends, and strategic initiatives.
• Evaluate and advance value-based care and alternative payment opportunities, including quality incentives, shared savings arrangements, bundled payments, case rates, and other reimbursement models.
• Assess the financial, clinical, regulatory, and operational requirements of alternative payment arrangements before implementation.
• Partner with Finance, Revenue Cycle Management, Clinical Operations, and Growth leaders to resolve systemic denial trends, utilization-management barriers, authorization challenges, and payer-related workflow issues.
• Monitor payer policy developments, contractual obligations, reimbursement risks, and relevant regulatory changes to ensure organizational preparedness and compliance.
• Advise executive leadership on payer-market dynamics, contracting risks, reimbursement opportunities, and investment priorities.
• Build scalable processes and governance for payer management, contracting, reimbursement analysis, and cross-functional accountability.
• Represent the organization in senior-level discussions with payer partners and relevant external stakeholders.
• Perform other duties related to the role as assigned.

Required Qualifications

• Bachelor’s or Master’s degree in Healthcare Administration, Business, Finance, or a related field.
• 10+ years of progressive experience in managed care, healthcare contracting, payer strategy, payer relations, reimbursement strategy, or a related healthcare function.
• Significant experience leading complex healthcare contract negotiations and managing senior-level payer relationships.
• Deep knowledge of healthcare reimbursement methodologies, managed care models, contract economics, payer operations, and provider-network strategy.
• Demonstrated experience using financial models, claims or reimbursement data, utilization trends, and performance analytics to inform payer strategy and contracting decisions.
• Track record of developing and executing payer, contracting, or reimbursement strategies in a multi-market healthcare environment.
• Strong executive communication, influence, negotiation, and presentation skills.
• Ability to align and drive action across clinical, financial, operational, revenue cycle, and executive teams.

Preferred Qualifications

• Experience in behavioral health, autism services, ABA, or another multi-site healthcare services setting.
• Experience working with commercial health plans, government payers, Medicaid, and Medicaid managed care organizations.
• Experience developing, evaluating, or negotiating value-based care and alternative payment arrangements.
• Experience leveraging clinical outcomes, quality measures, and utilization data to demonstrate provider value to payers.
• Familiarity with utilization management, medical necessity criteria, prior authorization, denials, appeals, and payer-policy challenges.

Working Requirements

• Remote position with availability during standard business hours.