Vice President of Payer Strategy (70193)

Women's Care•Tampa, FL

5d•Onsite

About The Position

Women’s Care, founded in 1998, is a leading women’s healthcare group in the United States, dedicated to providing the highest quality of care for women through their reproductive years and beyond. With 100+ locations and over 400 OB/GYNs and specialists across the country, Women’s Care provides comprehensive patient care in obstetrics, gynecology, gynecologic oncology, urogynecology, gynecologic pathology, breast surgery, genetic counseling, maternal fetal medicine, laboratory services, and fertility. The Vice President of Payer Strategy leads Women’s Care’s enterprise-wide managed care strategy, overseeing payer relationships, fee-for-service and value-based contracting, reimbursement optimization, and negotiation strategy across all markets. The role materially influences the organization’s financial performance by securing favorable reimbursement, improving contract terms, and strengthening long-term payer partnerships. This position collaborates closely with senior leadership and cross-functional teams to prepare for negotiations, execute contracting strategies, and ensure effective implementation of payor agreements. The role also partners with Revenue Cycle Management to resolve takebacks, recoupments, denials, underpayments, and related compliance issues. Additionally, the VP of Payer Strategy oversees the credentialing function, ensuring timely provider enrollment, adherence to payer and regulatory requirements, accuracy of credentialing databases, and maintenance of delegated credentialing status. Demonstrates and embodies the Women’s Care mission and core values. Compliance with all HIPAA rules, regulations, and guidelines. Other duties as assigned.

Requirements

Bachelor’s degree required; Master's degree preferred
15+ years progressive healthcare leadership experience, including at least 7 years in managed care contracting within physician groups or payers
Demonstrated success leading negotiations of fee-for-service and value-based agreements using quality data, market benchmarks, and payer performance history
Advanced proficiency in Excel; experience with BI tools (Power BI preferred) and contract management platforms strongly desired
Strong financial acumen, analytical capability, and ability to interpret complex contracts
Excellent communication, presentation, and relationship-building skills
Proven ability to lead teams, drive accountability, and operate effectively in a fast-paced environment
Hands-on, execution-focused leader comfortable with both strategic and tactical responsibilities
Deep knowledge of commercial insurance products, reimbursement methodologies, and market dynamics
Requires effective communication with internal leaders, providers, external partners, and payer executives. Must manage multiple priorities and operate effectively in a fast-paced, evolving environment.
Role requires regular in-office presence in Tampa, FL

Responsibilities

Lead enterprise payer strategy, including national and regional payer relationships, contract negotiations, renewals, and performance management
Negotiate fee-for-service, value-based, and alternative payment model agreements; achieve targeted financial outcomes and growth goals
Redline and review managed care contract language and reimbursement provisions; recommend improvements
Drive analytical processes and performance documentation related to negotiation strategies, managed care rates, reimbursement trends, and contract performance
Partner with Finance, Revenue Cycle, Operations, and Clinical Leadership to implement contract terms, optimize revenue capture, and resolve payer issues including denials, underpayments, takebacks, and payer compliance issues
Develop and deliver clear communication plans for negotiations, contract changes, credentialing updates, and payer developments
Stay current on market trends, regulatory changes, reimbursement methodologies, and competitive dynamics
Oversee credentialing operations, ensuring efficiency, accuracy, and compliance with payer, regulatory, and accrediting requirements