VP Payer Strategy & Contracting

Central Vermont Medical Center • South Burlington, VT

2d • Onsite

About The Position

The Vice President, Payer Strategy, Contracting & Value-Based Care provides executive leadership for the University of Vermont Health Network's integrated payer strategy function. This role is responsible for the development, negotiation, implementation, and performance management of all payer relationships, including commercial, Medicare Advantage, Medicaid Managed Care, governmental, employer-based, and value-based care arrangements. The Vice President serves as the organization's senior leader for payer strategy and market positioning, aligning traditional managed care contracting with population health, value-based care transformation, and financial sustainability goals. This executive leads enterprise efforts to optimize reimbursement, advance alternative payment models, strengthen payer partnerships, and accelerate the transition from fee-for-service to risk-based reimbursement models including strategies such as Direct to Employer, TPA, and organizational alignments and structures to support innovations. The Vice President oversees contracting for hospitals, employed and affiliated physicians, clinically integrated networks, accountable care organizations, post-acute providers, and other network entities. The position serves as a key advisor to executive leadership on payer market dynamics, reimbursement strategy, healthcare policy developments, and value-based payment innovation. The role is responsible for balancing short-term revenue optimization with long-term strategic transformation toward accountable, high-value care delivery models.

Requirements

• Bachelor's Degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field.
• 10+ years of progressive leadership experience in payer contracting, managed care, healthcare finance, value-based care, or payer-provider strategy.
• Demonstrated success leading complex payer negotiations within a large health system, integrated delivery network, ACO, CIN, or payer organization.
• Experience overseeing both fee-for-service and value-based payment arrangements.
• Strong experience evaluating financial risk and reimbursement methodologies.

Nice To Haves

• Master's Degree (MBA, MHA, MPH, or equivalent).
• Juris Doctor (JD) strongly preferred.

Responsibilities

• Provides executive leadership for the University of Vermont Health Network's integrated payer strategy function.
• Responsible for the development, negotiation, implementation, and performance management of all payer relationships, including commercial, Medicare Advantage, Medicaid Managed Care, governmental, employer-based, and value-based care arrangements.
• Serves as the organization's senior leader for payer strategy and market positioning, aligning traditional managed care contracting with population health, value-based care transformation, and financial sustainability goals.
• Leads enterprise efforts to optimize reimbursement, advance alternative payment models, strengthen payer partnerships, and accelerate the transition from fee-for-service to risk-based reimbursement models including strategies such as Direct to Employer, TPA, and organizational alignments and structures to support innovations.
• Oversees contracting for hospitals, employed and affiliated physicians, clinically integrated networks, accountable care organizations, post-acute providers, and other network entities.
• Serves as a key advisor to executive leadership on payer market dynamics, reimbursement strategy, healthcare policy developments, and value-based payment innovation.
• Responsible for balancing short-term revenue optimization with long-term strategic transformation toward accountable, high-value care delivery models.

What This Job Offers

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