Vice President, Payer Contracting – Strategy
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Job Description
VP of Payer Contracting & Strategy at Brigade Health overseeing payer contracting lifecycle and growth in major healthcare markets. Leading strategic reimbursement practices and cross-functional collaboration across teams.
Responsibilities:
- Own the full payer contracting lifecycle: Lead payer engagement from strategy and outreach through contract submission, negotiation, redlining, execution, renewals, and ongoing relationship management.
- Expand national payer relationships: Leverage deep existing relationships to grow partnerships with commercial, Medicare Advantage, and Medicaid payers across multiple markets.
- Lead payer strategy and reimbursement optimization: Design and execute payer strategies that align reimbursement models, operational workflows, and financial performance.
- Support new market expansion: Drive payer contracting for new states and markets, working with local, regional, and national health plans.
- Build scalable contracting infrastructure: Develop repeatable systems and processes across payer contracting, credentialing coordination, roster management, compliance, and performance tracking.
- Cross-functional leadership: Partner with executive leadership, general managers, credentialing, revenue cycle, and operations teams to translate payer requirements into operational execution.
- Serve as the internal payer authority: Advise leadership on payer policy, regulatory changes, reimbursement trends, and managed care best practices.
- People leadership: Build, develop, and lead a high-performing payer contracting and managed care team as the organization scales.
Requirements:
- 10+ years of healthcare experience within payer organizations, risk-bearing providers (IPA/MSO), managed care organizations, institutional providers, home health, hospice, or health technology companies.
- 5+ years of direct payer contracting and/or credentialing leadership experience, with a strong track record negotiating managed care and primary care contracts.
- Established payer relationships and credibility across the managed care ecosystem.
- Deep understanding of reimbursement models, payment methodologies, value-based care, and medical group economics.
- Working knowledge of revenue cycle management (RCM), claims, and payer operations to ensure contracts are operationally executable.
- Experience building or scaling a payer relations or contracting function in a high-growth or tech-enabled healthcare environment.
- Strong executive communication skills; comfortable presenting to senior leadership.
- Proficiency with MS Office, CRMs, databases, and contract management tools.
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