VP Payer Strategy & Contracting

Location Address: 40 IDX Drive, South Burlington Vermont

Regular

Department: UVMHN – High Value Care

Full Time

Standard Hours: 40

Biweekly 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.

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

•    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.