Vice President, Payer Relations & Contracting

Job description

**Employment Type**: Full Time, W-2 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 patients managing complex chronic conditions. Through a patient-centered approach focused on comfort, convenience, clinical excellence, and exceptional service, we're redefining the care experience and improving lives every day. As a growing healthcare organization, we're committed to supporting our employees with meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose. **Guided by Our Purpose** **Mission:** To improve the lives of those we care for by redefining the care experience. **Vision:** To be the nation's preferred destination for pharmaceutical care of complex chronic conditions. **Values:** Be Kind. Do What's Right. Never Settle. Make It Happen. Enjoy the Ride. --- ### Benefits & Perks Eligible employees may receive: - Medical, Dental, and Vision Coverage - Prescription Drug Coverage and Telemedicine Services - Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options - 401(k) Retirement Plan with Company Match - Life, AD&D, and Disability Insurance - Accident, Critical Illness, and Hospital Indemnity Coverage - Fertility and Family Planning Support - Tuition Reimbursement and Certification Assistance - Continuing Education and Professional Development Resources - Employee Assistance Program and Wellness Support - Paid Time Off - Volunteer Time Off and Charitable Giving Match - Employee Referral Bonus Program *Benefits may vary based on employment status and eligibility.* --- **EEO STATEMENT** IVX Health is proud to be an Equal Opportunity Employer. We are committed to creating an inclusive workplace where all employees are treated with respect and provided equal employment opportunities. Employment decisions are made based on business needs, job requirements, qualifications, merit, and applicable law. IVX Health prohibits discrimination, harassment, and retaliation of any kind and is committed to providing reasonable accommodations to qualified individuals with disabilities and those with sincerely held religious beliefs. [**Privacy Policy**](https://ivxhealth.com/privacy-policy/)