Vice President, Payer Relations & Contracting

Key Responsibilities

Payer Strategy & Contracting

• Lead IVX's national payer contracting and network access strategy.
• Negotiate and manage agreements with commercial, Medicare Advantage, Medicaid, and regional health plans.
• Expand payer participation, improve reimbursement economics, and support new market growth.
• Build executive relationships with key payer organizations and position IVX as a preferred site-of-care partner.

Reimbursement & Performance

• Own enterprise reimbursement strategy and contract performance.
• Identify opportunities to improve reimbursement, prevent underpayments, and strengthen contract compliance.
• Monitor payer policy, medical necessity, and reimbursement trends affecting patient access and revenue.
• Partner with Revenue Cycle, Finance, Operations, and Legal to address reimbursement risks and opportunities.

Strategic Partnerships

• Serve as IVX's executive liaison to payer organizations.
• Lead payer business reviews and strategic planning discussions.
• Support select employer, TPA, and alternative reimbursement partnerships.
• Identify opportunities to expand payer collaboration and value creation.

Leadership & Collaboration

• Align payer strategy across Growth, Operations, Clinical, Revenue Cycle, Finance, Legal, and Analytics teams.
• Translate contractual commitments into operational execution.
• Lead and develop the payer strategy function.
• Establish KPIs tied to network growth, reimbursement performance, and enterprise objectives.

Qualifications

Required

• 10+ years of healthcare leadership experience in payer relations, managed care contracting, reimbursement strategy, or network development.
• Bachelor's degree required.
• Proven success negotiating payer contracts and expanding network access.
• Experience supporting ambulatory, infusion, specialty, or alternative site-of-care healthcare organizations.
• Deep knowledge of managed care, reimbursement, specialty drug economics, payer operations, and medical policy.
• Strong executive communication, relationship-building, and financial acumen.

Preferred

• Experience in infusion services, specialty pharmacy, ambulatory care, or provider organizations.
• Established relationships with major national payers including UnitedHealthcare, Cigna, Aetna, Elevance, BCBS plans, and Humana.

Success Measures

• Expanded payer access and covered lives.
• Improved reimbursement rates and contract performance.
• Successful payer negotiations and renewals.
• Strong executive payer relationships.
• Margin improvement and reimbursement optimization.
• Achievement of growth and financial goals.