VP, Payor Strategy – Relations
Employment Information
Report this job
Job expired or something wrong with this job?
Job Description
Vice President of Payor Strategy & Relations at Fresenius Medical Care developing strategies for healthcare payor relationships. Leading partnerships and optimizing reimbursement models for financial sustainability.
Responsibilities:
- Develop and implement comprehensive payor strategies that align with Fresenius Medical Care's business goals across both fee-for-service and value-based care models
- Establish and maintain strong relationships with key payor organizations to explore partnership opportunities, enhance collaboration, and implement innovative strategies to improve revenue and margin
- Evaluate new/enhanced payor revenue opportunities through alternative revenue streams
- Continually monitor and evaluate federal and state healthcare regulations and Medicare reimbursement policies and methodologies with potential impact on private payor contracts, reimbursement models, and relationships
- Represent the organization in industry forums and payer/provider advisory boards to influence reimbursement policy and proactively evaluate and prepare for industry and market shifts impacting payor reimbursement
- In partnership with Managed Care and Revenue Strategy & Integrity leadership, develop key payor negotiation strategies to secure and enforce favorable payor contract terms, including reimbursement rates and contractual provisions, to maximize revenue growth
- Collaborate with Insurance Coordination and Revenue Cycle leadership to influence favorable payor mix through patient advocacy and admissions strategies
- Oversee the analysis of payor contract performance, payor reimbursement trends, payor forecast models, and financial outcomes to identify opportunities for revenue and margin improvement and inform strategic decisions
- Build and lead a team of Payor Strategy & Relations professionals in fostering a collaborative environment to achieve departmental and organizational objectives
- Work closely with internal departments, including Managed Care, Revenue Strategy & Integrity, Insurance Coordination, Operations, Revenue Cycle, and Finance to ensure alignment and effective execution of payor-related initiatives
- Perform additional responsibilities as assigned to support the company's overall success.
Requirements:
- Bachelor’s degree in business administration, Finance, Healthcare Management, or a related field required; master’s degree (MBA, MHA, MPH, or related) strongly preferred
- Minimum of 15 years of progressive leadership experience in healthcare payor/provider strategy, payor/provider contracting, healthcare finance, healthcare revenue cycle, reimbursement, with at least 5 years in a leadership role
- In-depth understanding of private and government payor systems, reimbursement methodologies, and healthcare regulations and polices
- Strong negotiation, analytical, and interpersonal skills, with the ability to develop strategic initiatives and lead a team effectively
- Demonstrated success in driving enterprise-level strategic planning and execution across multidisciplinary teams
- Expertise in negotiation strategy development and implementation of best-in-class revenue improvement initiatives
- Advanced analytical skills with experience in using business intelligence tools and financial modeling to drive improved revenue outcomes
- Exceptional executive presence with excellent communication, negotiation, and stakeholder engagement abilities
- Experience working within or alongside large, national healthcare systems or provider networks is highly desirable.
Benefits:
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions
- Drug-free workplace in accordance with applicable federal and state laws
Similar Jobs
RVP, Commercial Services – Americas
RVP of Commercial Services overseeing sales performance for full-service and select-service hotels across the Americas. Driving strategic direction, operational leadership, and talent development in a growing hospitality brand.
VP of Development Services
Vice President of Development Services at Ares Technology leading data center construction and development services. This role focuses on building and scaling a high-performance business unit.
Vice President of Post Closing
Vice President of Post Closing at eLEND overseeing correspondent loan purchase reviews and ensuring compliance and quality across operations.
Vice President – Delivery
Vice President overseeing global service operations at Gainwell Technologies. Shaping delivery models for exceptional client service with a focus on quality and efficiency.
AVP Commercial Credit Officer II
AVP Commercial Credit Officer II performing complex credit analysis and financial reviews for new and existing loan requests. Collaborating with sales and internal teams to ensure effective credit risk management.
AVP, Enterprise Transformation & Integration
AVP overseeing strategy and execution in Enterprise Transformation and Integration at Inovalon. Responsible for M&A integration, cost optimization, and organizational transformation.
VP, General Manager
VP & General Manager driving consumer growth for Kooner Mobile Auto Care. Responsible for P&L, strategy, brand, and team building.
Vice President – Patient Journey Innovation
Vice President leading patient engagement journey innovation for Equip's digital treatment program. Overseeing content strategy, UX design, and clinical outcomes with a focus on behavioral science.
VP, Product – Trading
VP of Product leading trading vertical and product strategy at zerohash. Seeking experienced individual to optimize product delivery in a high-growth startup environment.
Vice President, HCP Experience Lead
Vice President accountable for the commercial success of VYVGART at argenx. Leading HCP engagement strategy and team collaboration across multiple TAs and indications.
Vice President, Patient Strategy and Experience
VP, Patient Strategy and Experience at argenx focused on personalized patient engagement strategies for severe autoimmune disease treatment. Leadership role driving comprehensive patient experience and stakeholder engagement strategies.
VP of Compensation
VP of Compensation leading and designing compensation programs across a complex multi-entity organization. Collaborating with HR and business leaders to optimize pay practices and structures.
VP, Alliance
Vice President leading Cisco Alliance Partnership for C1, overseeing the strategic partnership with Cisco. Driving revenue and operational excellence in alliance management.
VP, Technical Success – Strategic Accounts
VP of Technical Success at RingCentral overseeing post-sales relationships with strategic accounts. Responsible for NRR and GRR targets with C-suite engagement.
AVP, Subject Matter Expert Practice
AVP overseeing RingCentral's post-sales subject matter expertise function across UCaaS, CCaaS, and Agentic AI. Leading strategy, talent, and partnerships to drive business communications transformation.
Vice President – Sector Performance
Key contributor managing Gainwell’s global delivery model and operational strategy. Overseeing client performance and ensuring exceptional service delivery in the health services sector.
Vice President
Assistant Vice President leading sales efforts in IoT and eSIM connectivity across Europe and Americas. Managing a team and building partnerships while promoting solutions.
BD Regional VP
Regional VP promoting financial products to Registered Reps in Arkansas & Oklahoma. Focusing on sales strategies, relationship building, and achieving targets in the financial services sector.
Vice President of Product – Learning Platforms
Vice President of Product leading learning technology strategy for CeriFi's platforms. Responsible for defining product vision and leading a high-performing product team.
VP, Sustainability Services
VP of Sustainability Services leading P&L performance at Environ Energy. Managing sustainability initiatives and driving client retention in a fully remote capacity.