VP-Payer Strategy

Presbyterian Healthcare Services•Remote Workers Texas-CST, TX

3d•Remote

About The Position

Presbyterian Healthcare Services (PHS) seeks a strategic, influential executive to serve as Vice President of Payor Strategy for the Presbyterian Delivery System (PDS). This is a high-impact role at the intersection of finance, strategy, and payer relations—responsible for shaping how the organization delivers sustainable growth in an increasingly complex reimbursement landscape. This leader will define and execute a system-wide payor contracting and revenue optimization strategy across a diverse and integrated delivery network. The Vice President will lead negotiations, advance value-based care models, and drive net revenue performance across hospitals, medical group, ambulatory services, and specialty service lines. This is an ideal role for a seasoned healthcare executive who combines deep reimbursement expertise, strong financial acumen, and executive presence—with the ability to influence both internal stakeholders and external payer partners in a rapidly evolving healthcare environment.

Requirements

Minimum of 15 years of progressive experience in payor strategy, managed care contracting, or healthcare finance
Demonstrated success in senior leadership roles within integrated health systems or complex healthcare organizations
Deep knowledge of reimbursement methodologies, including fee-for-service, value-based care, risk-sharing, and capitation models
Strong understanding of healthcare policy, regulatory environments, and evolving payment models
Proven ability to lead high-stakes payer negotiations and secure favorable outcomes
Advanced analytical and financial modeling capabilities with strong business judgment
Experience operating within complex, matrixed healthcare systems
Ability to translate complex financial concepts into actionable insights for executive and clinical leaders
Skilled at developing trust-based relationships with internal stakeholders and external partners
Demonstrated success leading transformation and driving results in dynamic, evolving environments
High Emotional Intelligence: Navigates conflict, complexity, and ambiguity with diplomacy and professionalism

Responsibilities

Define and execute a system-wide payor contracting strategy aligned with growth, market positioning, and financial performance goals
Develop and implement a comprehensive managed care strategic and tactical plan with clear performance targets
Identify and advance innovative reimbursement models, including value-based and risk-based arrangements
Lead and oversee negotiations of commercial and governmental managed care agreements to secure optimal reimbursement
Serve as authorized signatory for managed care contracts
Continuously evaluate contract performance and lead renegotiation or restructuring efforts as needed
Drive initiatives to enhance net revenue yield through contract optimization, recovery efforts, and performance monitoring
Analyze reimbursement trends and implement targeted interventions to address risk areas and improve outcomes
Contribute to financial forecasting, budgeting, and capital planning processes
Establish and oversee performance monitoring frameworks and reporting to track managed care outcomes
Ensure robust internal controls, compliance with regulatory requirements, and alignment with enterprise financial systems
Lead system configuration and optimization of contract management tools and reporting capabilities
Lead, mentor, and develop a high-performing managed care and contracting team
Foster cross-functional collaboration across Finance, Revenue Cycle, Operations, Strategy, and Physician Integration
Serve as a trusted advisor to executive leadership, providing insights and recommendations on payor strategy and risk
Build and sustain strong relationships with managed care organizations and key external stakeholders
Represent PHS in payer negotiations, regulatory discussions, and industry forums
Collaborate across the enterprise to strengthen market position and grow accretive service lines