Vice President - Payor Strategy and Relations
About The Position
Atlas Healthcare Partners exists to form strategic partnerships with health systems across the nation to develop, manage and operate Ambulatory Surgery Centers (ASCs) in their markets. As a key player in this rapidly growing healthcare segment, we are committed to providing exceptional care and outstanding customer service to every patient, every physician, every time. Our daily focus revolves around our core values of Integrity, Culture, Teamwork, Respect, and Results. In addition to fostering a workplace that encourages professional growth and advancement, we provide industry-leading health and dental benefits, paired with a matching retirement package. We look forward to you being a vital part of our journey in shaping the future of healthcare.
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.
Benefits
- Industry-leading health and dental benefits
- Matching retirement package
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What This Job Offers
Job Type
Full-time
Career Level
Executive
