VP Payor Contracts

Job Summary

The Vice President, Payor Contracts leads HonorHealth's enterprise payor strategy, overseeing a $1.8B portfolio across fee-for-service and value-based care arrangements. This role drives contract negotiation, strategic positioning, and financial optimization across HonorHealth and affiliated entities, including joint ventures and strategic partnerships. The VP serves as Executive Sponsor for the Reimbursement Team and collaborates with senior leadership to shape market participation, reimbursement models, and network positioning. The role also partners with internal stakeholders (Legal, Revenue Cycle, Finance, Service Lines, ICP ACO, Quality, and Innovation) and external entities (health plans, government agencies, and industry associations) to ensure alignment with financial goals, regulatory requirements, and strategic priorities. This position sets the foundation for future integration of analytics and automation to enhance contract performance and decision-making.

Essential Functions

• Leads development and execution of payor contracting strategies across FFS, VBC, bundled payments, and risk-sharing models. Analyzes utilization, reimbursement trends, and financial performance to inform executive decisions.
• Oversees contract negotiation and payor relationship management. Directs implementation of pricing strategies, reimbursement modeling, and claims analysis to improve revenue cycle outcomes and reduce denials.
• Serves as Executive Sponsor for the Reimbursement Team and other enterprise initiatives impacting payor strategy. Partners with CFO, SVP Strategy, and service line leaders to align payor strategy with enterprise growth initiatives, joint ventures, and ACO partnerships.
• Leads a team of four direct reports, driving workforce planning, performance management, and professional development. Ensures compliance with internal policies and external regulations.
• Provides strategic insight on payor trends, regulatory shifts, and emerging reimbursement models. Advises executives on risk exposure, contract performance, and innovation readiness.
• Collaborates with IT and Finance to explore integration of analytics platforms and automation tools to support contract modeling and performance forecasting.

Education

Experience