VP, Payor Contracting & Network Strategy

aah

Milwaukee (WI)

On-site

USD 136,000 - 220,000

Full time

4 days ago
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Benefits offered by this job

Health benefits
Dental & vision coverage
401(k) with company match
Educational assistance
Paid time off

Job summary

Advocate Health seeks a senior leader in payer contracting to drive strategy and execution across a wide provider network in Wisconsin. You will own key payer relationships, negotiate complex contracts, and align contracting with enterprise priorities to optimize financial and operational results.

The role requires strong analytics, negotiation, and leadership in a matrixed health system, with opportunities to influence across commercial, Medicare Advantage, Medicaid and value-based arrangements.

Qualifications

  • Bachelor’s degree required in business, healthcare, finance or related field.
  • MBA/MHA or equivalent preferred.

Responsibilities

  • Lead payer contracting strategies across markets and portfolios.
  • Own payer relationships and engagement with enterprise priorities.
  • Negotiate and renegotiate fee-for-service and value-based contracts across diverse networks.
  • Ensure terms, rates and structures meet financial and compliance expectations.
  • Develop negotiation strategies including financial modeling.
  • Lead bundled payments and contracting with independent providers.
  • Collaborate with revenue cycle, operations and contract administration teams.
  • Monitor portfolio performance and advise on revenue, margins and payer mix.
  • Translate market trends into actionable contracting strategies.
  • Lead and develop high-performing teams across the organization.

Skills

Payer contracting
Financial modeling
Negotiation
Relationship management
Strategic planning

Education

Bachelor’s degree in Business/Healthcare/Finance
MBA/MHA preferred

Tools

Contract analytics tools

Job description

Advocate Health seeks a senior leader in payer contracting to drive strategy and execution across a wide provider network in Wisconsin. You will own key payer relationships, negotiate complex contracts, and align contracting with enterprise priorities to optimize financial and operational results.

The role requires strong analytics, negotiation, and leadership in a matrixed health system, with opportunities to influence across commercial, Medicare Advantage, Medicaid and value-based arrangements.

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