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Vice President, Payer Relations & Contracting

IVX Health · Brentwood, TN
Full-timeGrowthGeneral$128,000–$173,000/yr
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About the Vice President Payer Relation Contracting role

Vice President Payer Relation Contracting positions focus on delivering results in their domain. This page aggregates open Vice President Payer Relation Contracting roles and what employers typically expect.

The Vice President, Payer Relations & Contracting leads IVX Health's national payer strategy, contracting, reimbursement optimization, and health plan partnerships. This executive will drive network expansion, negotiate payer agreements, improve reimbursement performance, and strengthen relationships with national and regional health plans. As a member of the Growth Leadership Team, this leader partners across Operations, Revenue Cycle, Finance, Legal, and Market Development to expand patient access, improve financial performance, and support enterprise growth. 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. About IVX Health IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride. Our Mission: To improve the lives of those we care for by redefining the care experience Our Vision: To be the nation’s preferred destination for pharmaceutical care of complex chronic conditions Our Commitment: To deliver an unmatched care experience with a foundation in world class service and clinical excellence Benefits We Offer Comprehensive Healthcare – Medical, dental,…

Salary estimate

$128,000 – $173,000/yr
Provided by the employer.

Skills for this role

CommunicationLeadership

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About IVX Health

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