Director of Payer Contracting

Vytalize Health • New York, NY

28d

About The Position

The Director of Payer Contracting will lead end-to-end payer contract strategy — from rate development and value-based model design to contract negotiation, analysis, and performance oversight. The ideal candidate brings strong financial acumen, negotiation skills, and the ability to partner cross-functionally with Legal, Finance, Provider Relations, Credentialing, Operations, and Growth.

Requirements

• BA, BS in Business, Finance preferred
• Minimum 5+ years of progressive managed care experience, with a strong emphasis on physician/provider contracting with payers.
• Demonstrated experience in value-based care contracting, including shared savings models, bundled payments, ACO structures, and risk-based arrangements.
• Deep understanding of the New York payer market highly preferred.
• Strong financial analysis capabilities, including the ability to interpret data, model reimbursement impacts, and develop rate proposals.
• Proven track record of independently leading complex payer contract negotiations.
• Prior experience presenting contract and financial analyses to senior leadership.
• Excellent written and verbal communication skills.
• Bachelor’s degree in business, healthcare administration, finance, public health, or a related field required; Master’s degree preferred.
• Strong business and financial acumen.
• Effective communicator with the ability to tailor message to executives, payers, and cross-functional partners.
• Highly organized, able to manage numerous contracts and timelines concurrently.
• Strategic thinker capable of identifying opportunities to enhance payer performance and contracting structures.
• Collaborative, relationship-driven, and able to influence without authority.
• Comfort working in a fast-growing, evolving environment.

Responsibilities

• Lead end-to-end payer contracting for New York and surrounding markets, including fee-for-service, VBC, shared savings, and bundled payment arrangements.
• Independently drive complex payer contract negotiations, rate discussions, escalations, and settlement conversations.
• Review, redline, and negotiate contract terms to protect the organization’s best interests while ensuring operational and financial viability.
• Develop rate proposals, VBC model designs, and performance-based reimbursement structures.
• Conduct detailed financial and utilization analyses to inform negotiation strategy and evaluate contract impact.
• Prepare and present reporting to leadership on contract status, negotiation updates, financial impact, and strategic market opportunities.
• Maintain deep, current knowledge of the New York payer and provider landscape, competitive dynamics, and regulatory environment.
• Participate in Joint Operating Committee (JOC) meetings, value-based care performance reviews, reimbursement escalations, and quality-related discussions.
• Identify opportunities to enhance payer performance, improve contract terms, and strengthen payer relationships.
• Partner closely with Legal on contract review, compliance terms, risk language, and redlines.
• Collaborate with Finance on modeling, profitability assessments, rate impacts, and VBC performance analytics.
• Work with Provider Relations, Credentialing, Operations, and Growth to ensure contracts are operationalized successfully.
• Act as a strategic liaison internally to monitor contract performance, address issues, and escalate to payers when needed.
• Manage multiple priorities concurrently in a fast-paced, dynamic environment.
• Proactively problem-solve complex, ambiguous contracting issues with sound judgment.
• Communicate clearly and professionally across internal teams and with external payer partners.
• Represent the organization confidently in negotiations, payer forums, and leadership presentations

Benefits

• Competitive base compensation
• Annual bonus potential
• Health benefits effective on start date
• Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date
• 401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary
• Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days
• Company paid STD/LTD
• Technology setup
• Ability to help build a market leader in value-based healthcare at a rapidly growing organization

What This Job Offers

• Job Type: Full-time
• Career Level: Director
• Number of Employees: 251-500 employees