Vice President of Payer Contracting

The Company is seeking a Vice President of Payer Contracting to develop and lead strategy, negotiations, and execution of value-based agreements with Medicaid managed care organizations and other payer partners. The role includes designing arrangements such as shared savings, capitation, and risk-based payment models, and managing senior payer relationships. The successful candidate will work across finance, actuarial, clinical, operations, legal, and network teams to make contracts financially sound, compliant, and operationally effective. Responsibilities also include monitoring contract performance, leading renegotiations, supporting market expansion and proposals, and reporting on contracting activity and financial impact to executive leadership. Candidates should have 10–15 or more years of experience in payer contracting, network management, or healthcare business development, with deep expertise in Medicaid managed care and value-based payment models. A strong record negotiating and managing complex risk-based contracts, knowledge of healthcare economics and state-specific Medicaid regulations, and experience operationalizing agreements across teams are required. Excellent negotiation, communication, and relationship-management skills are essential. Trusted relationships with Medicaid health plans, strong analytical and financial modeling capabilities, and an MBA, MHA, or related advanced degree are preferred.