Area VP, Managed Health Payor Contracting

Advocate Health•Milwaukee, WI

34d•$100 - $160•Hybrid

About The Position

This role is responsible for payer contracting primarily for Advocate Health WI providers. The Area VP will lead the development and execution of payer contracting strategies, serve as the primary owner of payer relationships, and oversee the negotiation and renegotiation of various contract types. The position requires ensuring contract terms meet financial, operational, and compliance expectations, developing negotiation strategies, and managing portfolio performance. The Area VP will also translate market trends into actionable strategies and lead high-performing teams while influencing cross-functional stakeholders.

Requirements

Bachelor’s Degree in Business, Healthcare Administration, Finance, Economics, or related field required.
Minimum of 8 years of professional experience, with at least 5 years in payer contracting, managed care, healthcare financial strategy, or related fields, with demonstrated progressive responsibility.
Demonstrated success leading complex contract negotiations and achieving financial performance targets.
Strong expertise in payer contracting, reimbursement methodologies, and value-based care models.
Advanced financial and analytical capabilities, including contract modeling and performance evaluation.
Strong negotiation, influencing, and relationship management skills.
Ability to synthesize complex information and translate into strategic recommendations.
Effective communication and executive presence with ability to engage stakeholders at all levels.
Demonstrated ability to lead teams and operate effectively in complex, matrixed environments.

Nice To Haves

Master’s Degree (MBA, MHA, or equivalent) preferred.
Experience across commercial, Medicare Advantage, Medicaid, and value-based payment models preferred.
Experience in large, integrated health systems or multi-entity provider organizations preferred.

Responsibilities

Lead development and execution of payer contracting strategies across assigned markets, payers, and portfolio scope, including recommendations on payer participation, network positioning, and contract optimization opportunities.
Serve as primary owner of payer relationships, aligning engagements with enterprise strategy and priorities.
Lead and oversee negotiation and renegotiation of fee-for-service and value-based contracts, including complex risk-based arrangements, across a diverse portfolio of 20+ provider types spanning acute, post-acute, and clinically integrated networks.
Ensure contract terms, rates, and structures meet financial, operational, and compliance expectations.
Develop and execute negotiation strategies, including financial modeling and positioning.
Lead bundled payment arrangements and contracting with independent providers participating in bundled services (e.g., transplant and other specialty programs), ensuring alignment with financial, operational, and legal requirements.
Partner with internal divisions/areas including but not limited to revenue cycle, operations, and contract administration teams to ensure accurate implementation and ongoing integrity of contracts.
Monitor and manage portfolio performance, including financial modeling, risk assessment, and development of recommendations to support decision-making across revenue, margin, reimbursement, and payer mix.
Translate market trends, payer dynamics, and regulatory changes into actionable contracting strategies.
Lead and develop high-performing teams while influencing cross-functional stakeholders across the organization.
Perform other duties as assigned.

Benefits

Comprehensive suite of Total Rewards: benefits and well-being programs
Competitive compensation
Generous retirement offerings
Programs that invest in your career development
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
Premium pay such as shift, on call, and more based on a teammate's job
Incentive pay for select positions
Opportunity for annual increases based on performance
Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program