Vice President of Corporate Payer Contracting

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The Corporate Vice President of Payer Contracting will oversee and manage all payer contracting activities within the healthcare system.

This senior executive role is responsible for negotiating and maintaining contracts with insurance companies, government payers, and other third-party payers.

The VP will ensure that payer contracts support the financial and operational goals of the organization while maintaining compliance with regulatory requirements.

Your Everyday

• Strategic Leadership :
• Develop and execute payer contracting strategies that align with the healthcare system’s goals and objectives.
• Lead and manage the payer contracting team, providing direction, mentorship, and professional development opportunities.
• Collaborate with senior leadership to ensure contracting activities support the overall business strategy.
• Contract Negotiation and Management :
• Lead negotiations for payer contracts, including fee schedules, reimbursement terms, and other contractual provisions.
• Develop and maintain strong relationships with payer representatives to facilitate favorable contract terms.
• Oversee the administration and management of existing payer contracts, ensuring compliance and performance.
• Financial Management :
• Analyze the financial impact of payer contracts and provide recommendations to optimize reimbursement rates and financial outcomes.
• Develop and manage the budget for the payer contracting department.
• Monitor payer contract performance and implement strategies to address underperformance and maximize revenue.
• Compliance and Risk Management :
• Ensure all payer contracts comply with federal, state, and local regulations, as well as internal policies and standards.
• Identify and mitigate potential risks associated with payer contracting.
• Stay informed about regulatory changes and industry trends that impact payer contracting.
• Data Analysis and Reporting :
• Utilize data analytics to assess the effectiveness of payer contracts and identify opportunities for improvement.
• Develop and monitor key performance indicators (KPIs) related to payer contracting activities.
• Prepare and present reports to senior leadership on the status of payer contracts, financial performance, and strategic initiatives.
• Stakeholder Collaboration :
• Work closely with clinical and administrative leaders to understand their needs and ensure payer contracts support operational goals.
• Serve as a primary point of contact for payer-related inquiries and issues.
• Foster collaboration with other departments to align contracting efforts with the organization’s overall strategy.

The Must-Haves

Minimum :

Experience Qualifications

• Minimum of 10 years of experience in payer contracting or healthcare finance, with at least 5 years in a leadership role.
• In-depth knowledge of payer contracting, reimbursement methodologies, and regulatory requirements.
• Proven track record of successful payer contract negotiation and management.
• Strong financial acumen and experience with budget management.

Education Qualifications

Bachelor’s degree in business administration, Healthcare Administration, Finance, or a related field. Master’s degree preferred.

Skills and Abilities

• Excellent communication, negotiation, and interpersonal skills.
• Ability to work collaboratively with diverse stakeholders and build consensus.
• Strong analytical and problem-solving abilities.

WORK SHIFT : Days (United States of America)

Job Type : Full-time

Pay : $134,690.00 - $180,000.00 per year

Schedule :

Monday to Friday

Ability to Relocate :

New Orleans, LA 70163 : Relocate before starting work (Required)

Work Location : In person

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