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VP Payer Strategy & Contracting

University of Vermont Health Network
Posted 14 days ago, valid for 21 days
Location

South Burlington, VT, US

Salary

Competitive

Contract type

Full Time

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Sonic Summary

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  • The University of Vermont Health Network is seeking a Vice President of Payer Strategy, Contracting & Value-Based Care located at 40 IDX Drive, South Burlington, Vermont.
  • This full-time position requires a Bachelor's Degree in a related field and a minimum of 10 years of progressive leadership experience in payer contracting and healthcare finance.
  • The role involves overseeing payer relationships, negotiating contracts, and advancing alternative payment models to enhance financial sustainability and value-based care delivery.
  • The Vice President will serve as a key advisor on payer market dynamics and reimbursement strategies while balancing short-term revenue optimization with long-term strategic transformation.
  • The salary for this position is competitive and commensurate with experience.
Building Name: UVMMC - 40 IDX Drive

Location Address: 40 IDX Drive, South Burlington Vermont

Regular

Department: UVMHN – High Value Care

Full Time

Standard Hours: 40Biweekly Scheduled Hours:

Shift: Day

Primary Shift: -

Weekend Needs: None

Recruiter: Cathleen Sullivan

The Vice President, Payer Strategy, Contracting & Value-Based Care provides executive leadership for the University of Vermont Health Network's integrated payer strategy function. This role is responsible for the development, negotiation, implementation, and performance management of all payer relationships, including commercial, Medicare Advantage, Medicaid Managed Care, governmental, employer-based, and value-based care arrangements.
The Vice President serves as the organization's senior leader for payer strategy and market positioning, aligning traditional managed care contracting with population health, value-based care transformation, and financial sustainability goals. This executive leads enterprise efforts to optimize reimbursement, advance alternative payment models, strengthen payer partnerships, and accelerate the transition from fee-for-service to risk-based reimbursement models including strategies such as Direct to Employer, TPA, and organizational alignments and structures to support innovations. 
The Vice President oversees contracting for hospitals, employed and affiliated physicians, clinically integrated networks, accountable care organizations, post-acute providers, and other network entities. The position serves as a key advisor to executive leadership on payer market dynamics, reimbursement strategy, healthcare policy developments, and value-based payment innovation. 
The role is responsible for balancing short-term revenue optimization with long-term strategic transformation toward accountable, high-value care delivery models

EDUCATION
Required:
•    Bachelor's Degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field.
Preferred:
•    Master's Degree (MBA, MHA, MPH, or equivalent).
•    Juris Doctor (JD) strongly preferred.

EXPERIENCE
Required:
•    10+ years of progressive leadership experience in payer contracting, managed care, healthcare finance, value-based care, or payer-provider strategy.
•    Demonstrated success leading complex payer negotiations within a large health system, integrated delivery network, ACO, CIN, or payer organization.
•    Experience overseeing both fee-for-service and value-based payment arrangements.
•    Strong experience evaluating financial risk and reimbursement methodologies.




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By applying, a University of Vermont Health Network account will be created for you. University of Vermont Health Network's Privacy Policy and Terms & Conditions will apply.

SonicJobs' Terms & Conditions and Privacy Policy also apply.