Vice President, Payor

IVI America • Basking Ridge, NJ

78d • Hybrid

About The Position

The Vice President, Payer leads the organization's payer contracting, network strategy, and market access agenda across a rapidly growing, multi-state fertility platform. This role owns the full payer relationship lifecycle — from contracting and reimbursement strategy through credentialing oversight and new benefit product market access — and serves as the organization's primary voice with national and regional payers, fertility benefit administrators, and employer-sponsored benefit programs. The VP, Payer will bring order to a complex, multi-EIN contracting landscape shaped by acquisition history, while positioning the organization to capture growth from expanding state infertility mandates and the rise of employer-purchased fertility benefits.

Requirements

• 8+ years of progressive experience in payer contracting, managed care, or market access, including direct payer negotiation experience.
• Experience operating across multiple states and multiple legal entities/EINs in a multi-site healthcare environment.
• Demonstrated success negotiating and managing contracts with national payers and/or specialty benefit administrators.
• Strong understanding of healthcare reimbursement methodologies, credentialing fundamentals, and revenue cycle interdependencies.
• Bachelor's degree in healthcare administration, business, or related field.
• Expert-level negotiation skills with the ability to balance organizational economics against payer relationship durability.
• Strong financial and data fluency; comfortable building and defending rate models and contracting ROI analyses.
• Exceptional relationship-building skills across payer, employer, and internal operational stakeholders.
• Comfortable operating with ambiguity and building structure from a fragmented, acquisition-driven starting point.
• Polished executive communication and presence; credible in payer C-suite and board settings alike.

Nice To Haves

• Direct experience in fertility, women's health, or another high-growth specialty care segment.
• Experience in a private equity-backed or M&A-intensive healthcare organization.
• Familiarity with fertility benefit administrators and employer-purchased fertility benefit design.
• MBA or advanced degree.

Responsibilities

• Own end-to-end payer contracting strategy across all markets, including rate negotiation, contract language, and renewal cycles.
• Rationalize and harmonize payer contracts and reimbursement terms across legacy entities acquired through M&A, working toward consistent, defensible rate structures.
• Build and maintain a payer contracting playbook, including model contract terms, escalation paths, and a centralized contract repository.
• Lead value-based and alternative payment model exploration where appropriate to the fertility benefit landscape.
• Serve as the primary relationship owner for national payers, regional health plans, and fertility benefit administrators (e.g., Progyny, Carrot, Maven, WIN).
• Lead market access strategy for new and expanding employer-sponsored fertility benefit products, positioning the organization as a preferred provider.
• Track and respond to state infertility mandate developments, ensuring the organization is positioned to capture in-network growth as coverage expands.
• Represent the organization at payer, employer benefits, and industry conferences to build visibility and strategic relationships.
• Partner with Revenue Cycle, Legal, and Clinical Operations to ensure contract terms translate cleanly into billing, prior authorization, and reimbursement workflows.
• Oversee payer-facing credentialing strategy in partnership with credentialing operations to minimize onboarding delays for new providers and acquired clinics.
• Support integration of newly acquired practices into the organization's payer contracting and benefit administrator relationships.
• Provide regular payer landscape reporting and contracting performance metrics to the CCO and executive leadership.
• Develop board- and investor-ready materials summarizing payer mix, contracting wins, reimbursement trends, and market access progress.
• Quantify the financial impact of contracting initiatives to support enterprise value creation narratives.

Benefits

• Medical, Dental, Vision Insurance Options
• Retirement 401K Plan
• Paid Time Off & Paid Holidays
• Company Paid: Life Insurance & Long-Term Disability & AD&D
• Flexible Spending Accounts
• Employee Assistance Program
• Tuition Reimbursement

What This Job Offers

• Job Type: Full-time
• Career Level: Executive