VP, Payer & Market Access - Fertility Care

UNC Fertility; New Jersey; Híbrido; USD 150.000 - 160.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Medical, Dental, Vision Insurance

401K Plan

Paid Time Off & Holidays

Descripción de la vacante

IVI RMA North America is a private equity-backed, multi-site fertility care organization operating 60+ clinics across the United States and Canada. The Vice President, Payer leads payer contracting, network strategy, and market access across a growing platform, owning the full payer relationship lifecycle and serving as the primary voice with national payers and benefit administrators.

The role requires 8+ years in payer contracting and multi-state experience, with strong negotiation,

Formación

• 8+ years of progressive experience in payer contracting, managed care, or market access.
• Experience operating across multiple states and multiple legal entities/EINs in a multi-site healthcare environment.
• Demonstrated success negotiating and managing contracts with national payers and/or specialty benefit administrators.
• Bachelor's degree in healthcare administration, business, or related field.
• MBA or advanced degree.

Responsabilidades

• Own end-to-end payer contracting strategy across all markets, including rate negotiation, contract language, and renewal cycles.
• Rationalize and harmonize payer contracts and reimbursement terms across legacy entities acquired through M&A, working toward consistent, defensible rate structures.
• Build and maintain a payer contracting playbook, including model contract terms, escalation paths, and a centralized contract repository.
• Lead value-based and alternative payment model exploration where appropriate to the fertility benefit landscape.
• Serve as the primary relationship owner for national payers, regional health plans, and fertility benefit administrators (e.g., Progyny, Carrot, Maven, WIN).
• Lead market access strategy for new and expanding employer-sponsored fertility benefit products, positioning the organization as a preferred provider.
• Track and respond to state infertility mandate developments, ensuring the organization is positioned to capture in-network growth as coverage expands.
• Represent the organization at payer, employer benefits, and industry conferences to build visibility and strategic relationships.
• Partner with Revenue Cycle, Legal, and Clinical Operations to ensure contract terms translate cleanly into billing, prior authorization, and reimbursement workflows.
• Oversee payer-facing credentialing strategy in partnership with credentialing operations to minimize onboarding delays for new providers and acquired clinics.
• Support integration of newly acquired practices into the organization's payer contracting and benefit administrator relationships.
• Provide regular payer landscape reporting and contracting performance metrics to the CCO and executive leadership.
• Develop board- and investor-ready materials summarizing payer mix, contracting wins, reimbursement trends, and market access progress.

Conocimientos

Payer contracting

Negotiation

Market access

Healthcare reimbursement

Leadership

Relationship-building

Educación

Bachelor's degree in healthcare administration, business, or related field

MBA or advanced degree

Descripción del empleo

IVI RMA North America is a private equity-backed, multi-site fertility care organization operating 60+ clinics across the United States and Canada. The Vice President, Payer leads payer contracting, network strategy, and market access across a growing platform, owning the full payer relationship lifecycle and serving as the primary voice with national payers and benefit administrators.

The role requires 8+ years in payer contracting and multi-state experience, with strong negotiation,