Vice President - Payor Strategy and Relations

Atlas Healthcare Partners•Phoenix, AZ

2d•Onsite

About The Position

The Vice President, Payor Strategy & Relations leads Atlas Healthcare Partners’ strategy for payor reimbursement and relationships across its ambulatory surgery center (ASC) portfolio. This role works closely with health system partners, executive leadership, and operational teams to identify reimbursement opportunities, improve financial performance, and support growth initiatives. Given the health system partners lead the majority of direct payor contracting within Atlas’ joint venture model, this position influences payor strategy through data analysis, market insights, and collaborative stakeholder engagement. The Vice President helps ensure ASCs are appropriately positioned with payors, reimbursed effectively, and prepared to navigate changes in the healthcare reimbursement landscape.

Requirements

10+ years in healthcare reimbursement, managed care, or payor strategy
Bachelor’s degree in Finance, Business, Healthcare Administration, or related field required
Direct payor contracting and negotiation experience (provider or payor side)
Experience in ASC, surgical services, or provider-side reimbursement
Experience with payor relations operations, including credentialing and enrollment
Strong financial acumen linking reimbursement to yield, margin, and case economics
Ability to operate effectively in a matrixed, influence-based environment

Nice To Haves

Master’s degree (MBA, MHA, or related discipline) preferred
Experience within health system-led contracting or JV environments
Experience with alternative payment models (e.g., employer-direct, bundles, COEs)
Track record leveraging analytics and finance teams to drive outcomes
Understanding of market, regulatory, and payor dynamics

Responsibilities

Drive Atlas’ payor strategy across markets in alignment with health system partners.
Serve as the primary Atlas interface to health system partners on ASC-related reimbursement strategy.
Provide data-driven insights, modeling, and strategic recommendations to drive payor contract outcomes.
Inform negotiation strategy, including rate positioning, contract structure, and ASC inclusion within system agreements.
Lead development of market intelligence, including industry trends and regulatory impacts shaping payor dynamics.
Work directly with Strategic Analytics and Finance to evaluate reimbursement performance and contract effectiveness.
Translate contract structures into clear financial implications and action plans.
Focus reporting on payor reimbursement performance, including contracted vs. realized reimbursement, case rate integrity, carve-out effectiveness, and reimbursement yield.
Oversee payor relations operations including issue resolution, audit coordination, and tracking of systemic issues.
Ensure contract compliance and adherence.
Ensure timely and accurate credentialing and payor enrollment for all ASCs.
Develop and execute non-traditional reimbursement channels including employer-direct agreements and bundled payments.
Lead sourcing, structuring, and negotiation of direct to employer agreements.
Partner with RCM, clinical, and operational leadership to ensure reimbursement requirements are translated into workflows.
Aggregate and elevate key reimbursement challenges and drive alignment for resolution with payors.
Support alignment of operations, coding, and documentation with payor expectations.
Performs other duties as assigned.
Performs all functions according to established policies, procedures, regulatory and accreditation requirements, as well as applicable professional standards.
Provides all customers with an excellent service experience by consistently demonstrating our core and leader behaviors each and every day.