VP of Provider Network (Wisconsin)

Fresno Summit Advisors•Milwaukee, WI

2d•Hybrid

About The Position

Health Payment Systems, Inc. (HPS/PayMedix) is redefining how people access and pay for healthcare by bringing together provider networks, payments and financing, and industry partners to remove financial barriers and simplify the healthcare experience. Their solutions include the HPS Network (a Wisconsin-based provider network), PayMedix (a national healthcare payments platform), and TempoPay (a flexible healthcare benefit solution). The company aims to make the healthcare payments experience simpler, more transparent, and more connected. The VP of Provider Network is responsible for building, optimizing, and expanding HPS’s provider network strategy across Wisconsin. This is a hands-on leadership role involving strategy setting, direct execution of provider contracting, negotiations, and network expansion. The role owner will define how provider agreements are structured, improve unit economics, and expand access across the state, collaborating with actuarial and analytics teams on pricing, contract models, and growth opportunities. The ideal candidate possesses deep experience in provider contracting and network development, strong relationships within the Wisconsin healthcare market, and a proactive approach. This position reports to the President and operates under a hybrid model, requiring 2-3 days onsite in the Milwaukee office or in the market with providers.

Requirements

Bachelor’s degree in Business Administration or Healthcare Administration required.
10+ years of management level experience in provider network development.
Proven track record of established relationships within the Wisconsin provider market (health systems, hospitals, independent providers).
Proven experience driving unit cost improvements, negotiating provider agreements and pricing structures, with a strong understanding of health plan economics and network strategy.

Nice To Haves

Master’s degree in Business Administration or Healthcare Administration is preferred.

Responsibilities

Define and execute provider network strategy across the Wisconsin market.
Identify and prioritize provider targets to expand network coverage across geographies and specialties.
Lead negotiation and structuring of provider contracts, including rates, reimbursement models, and SLAs.
Oversee network development staff in the development of provider networks in Wisconsin and partner with actuarial and provider relations teams to evaluate pricing, assess performance, and inform contracting strategy.
Use data to identify cost-saving opportunities, renegotiation targets, and network gaps.
Build and maintain strong relationships with hospitals, health systems, and independent providers.
Partner with Provider Operations to resolve high-priority provider issues and improve network performance.
Drive initiatives that improve unit economics, affordability, and network efficiency.
In cases where full contracting isn’t feasible, prioritize and deliver alternative solutions (e.g.,PayMedix) to maintain access and support network goals.