VP Payer Strategy & Contracting

The Vice President Payer Strategy Contracting & Value-Based Care provides executive leadership for the University of Vermont Health Networks 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 organizations 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 role is responsible for balancing short-term revenue optimization with long-term strategic transformation toward accountable high-value care delivery models.

Reports To: Senior Vice President High Value Care

Key Internal Relationships: System Chief Financial Officer / Partner Presidents and CFOs / Chief Medical Officers / Population Health Service Organization Leadership / Revenue Cycle Leadership / Finance Leadership / Legal and Compliance / Data Analytics and Information Technology Leadership / Clinical and Operational Leadership

Roles reporting to this position:

Strategic Payer Contracting & Regulatory Counsel
Manager Contracting & Network Management
Manager Contracting & Network Management
Manager Value-Based Care Program Operations
Manager Provider Relations & Contract Performance
Payer Policy & Strategy Analyst

EDUCATION
Required

Bachelors Degree in Business Administration Healthcare Administration Finance Economics Public Health or related field.
Preferred
Masters 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.