VP, Payer Contracting & Value-Based Care Strategy

Advocate Health; Milwaukee (WI); On-site; USD 110,000 - 170,000; Full time

Job summary

Advocate Health in Milwaukee seeks an experienced leader to direct payer contracting strategies across markets and networks, aligning engagements with enterprise priorities and financial goals. You will negotiate complex fee-for-service and value-based contracts, lead bundled arrangements, and partner with revenue cycle, operations, and contract administration to ensure contract integrity and performance.

The ideal candidate has 8+ years in payer contracting, a Bachelor's degree (MBA/MHA

Qualifications

• Bachelor's degree in Business, Healthcare Administration, Finance, Economics, or related field required.
• Master's degree (MBA, MHA, or equivalent) preferred.
• Minimum 8 years of professional experience with 5+ years in payer contracting or related fields.

Responsibilities

• Lead development and execution of payer contracting strategies across markets and portfolio scope.
• Serve as primary owner of payer relationships, aligning engagements with enterprise strategy and priorities.
• Lead and oversee negotiation and renegotiation of fee-for-service and value-based contracts across a diverse portfolio.
• Ensure contract terms, rates, and structures meet financial, operational, and compliance expectations.
• Develop and execute negotiation strategies, including financial modeling and positioning.
• Lead bundled payment arrangements and contracting with independent providers participating in bundled services.
• Partner with internal divisions including revenue cycle, operations, and contract administration teams.
• Monitor and manage portfolio performance, including financial modeling, risk assessment, and recommendations.
• Translate market trends, payer dynamics, and regulatory changes into actionable contracting strategies.
• Lead and develop high-performing teams while influencing cross-functional stakeholders across the organization.

Skills

Payer contracting

Negotiation

Financial modeling

Relationship management

Executive communication

Strategic thinking

Education

Bachelor's degree in Business, Healthcare Administration, Finance, Economics, or related field

Master's degree (MBA, MHA, or equivalent) preferred

Job description

Advocate Health in Milwaukee seeks an experienced leader to direct payer contracting strategies across markets and networks, aligning engagements with enterprise priorities and financial goals. You will negotiate complex fee-for-service and value-based contracts, lead bundled arrangements, and partner with revenue cycle, operations, and contract administration to ensure contract integrity and performance.

The ideal candidate has 8+ years in payer contracting, a Bachelor's degree (MBA/MHA