Vice President, Payor
IVI America
Job Description
Job Description
Vice President, Payor
Location : Basking Ridge, NJ preferred; remote locations will be considered; Hybrid
Supervisor/Reporting to : Chief Commercial Officer (CCO)
Status: Exempt
Department : Commercial/ Payor Relations
Travel: Up to 25%, including clinic markets and payer/vendor meetings
About the Company:
IVI RMA North America is a private equity-backed, multi-site reproductive medicine and fertility care organization operating 60+ clinics across the United States and Canada, serving patients through a network of more than 2,200 team members. Built through an active acquisition strategy, the organization is unifying a family of respected fertility practices under a shared clinical philosophy, brand, and operating model. The organization is led through a physician-operations dyad leadership structure that pairs clinical and operational decision-making at every level, ensuring that growth, integration, and performance initiatives remain grounded in exceptional patient care. With a multi-year path toward a strategic exit, the organization is investing heavily in the systems, talent, and infrastructure needed to scale sustainably while preserving the compassionate, patient-centered culture that differentiates it in the fertility space.
Job Purpose:
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.
Essential Functions and Accountabilities:
Payer Contracting & Network Strategy
- 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.
Market Access & Payer Relations
- 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.
Cross-Functional & Operational Leadership
- 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.
PE / Board Reporting
- 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.
Qualifications
Required
- 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.
Preferred
- 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.
Skills and Competencies
- 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.
Leadership Profile
This role suits a builder — someone energized by creating structure where none exists, who can move fluidly between detailed contract negotiation and high-level strategic positioning. The ideal leader brings a collaborative, low-ego style that earns trust quickly with clinical operators, payers, and the executive team, while holding a firm, well-prepared line at the negotiating table. They will be comfortable as the face of the organization externally and a hands-on operator internally.
Impact
Within the first year, success looks like a rationalized, well-documented payer contracting infrastructure; measurable improvement in reimbursement rates and contract terms across legacy entities; expanded in-network and benefit-administrator relationships that drive patient volume growth; and a credible, quantified payer strategy narrative for board and PE sponsor reporting.
I VI-RMA offers a comprehensive benefits package to all employees who work a minimum of 30 hours per week.
- 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
About IVIRMA Global:
IVIRMA is the largest group in the world devoted exclusively to human Assisted Reproduction Technology. Along with the great privilege of providing fertility care to our patients, IVIRMA embraces the great responsibility of advancing the field of human reproduction. IVIRMA Innovation, as one of the pillars of IVIRMA Global, is a renowned leader in fertility research and science. Check out our websites at: &
EEO
“IVIRMA is an Equal Opportunity Employer and Prohibits Discrimination and Harassment of Any Kind: IVIRMA is committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. All employment decisions at IVIRMA are based on business needs, job requirements and individual qualifications, without regard to race, color, religion and/or belief, family or parental status, or any other status protected by the laws or regulations in the locations where we operate. IVIRMA will not tolerate discrimination or harassment based on any of these characteristics. IVIRMA encourages applicants of all ages.”
- ...Job Description Job Description Position: Regional Vice President Location: Hybrid - Basking Ridge, NJ Travel: 50% with frequent overnight stays The Position: Our Client is changing lives every day and are the leading team worldwide in the field of...SuggestedWork experience placementWork at officeLocal areaWorldwideFlexible hoursNight shift
- ...and compliance, and expand formulary coverage for the portfolio. You will shape strategies to maximize patient access, contract with payors, and ensure adherence to regulatory requirements while mentoring a high-performing team. #J-18808-Ljbffr Pharmacosmos Therapeutics...SuggestedContract work
- ...Vice President, Revenue Cycle ManagementThe Vice President, Revenue Cycle Management will support the physician division while overseeing the A/R team responsible for collecting outstanding insurance balances, appealing denied claims, and resolving A/R for our clients...SuggestedWork at officeLocal areaRemote work
- ...VICE PRESIDENT OF RESTAURANT OPERATIONS, New Jersey Please send resumes to ****@*****.*** Seeking an experienced Vice President of Restaurant Operations to join a growing hospitality group in New Jersey. This is a highly visible, hands‑on leadership role...Suggested
- Job Description Job Description United Pharmacy Network is looking for a VP of Sales , reporting to our CEO. This role is crucial in driving revenue growth and building lasting relationships with pharmacy members. Expertise in sales strategy, team leadership, and...Suggested
$206k - $260k
...Title: Vice President, Credit Risk Company: Everest Global Services, Inc. Job Category: Risk Management Job Description: About Everest: Everest is a global leader in risk management, rooted in a rich, 50+ year heritage of enabling businesses...Full time- ...Vice President of Business DevelopmentAt Koch, employees are empowered to do what they do best to make life better. Learn how our business philosophy helps employees unleash their potential while creating value for themselves and the company. As a Koch Engineered Solutions...
$150k - $200k
...Vice President Of Human ResourcesThe Vice President of Human Resources (VP HR) serves as a strategic partner to senior leadership, driving business outcomes through innovative people strategies. This role leads the design and execution of enterprise-wide HR initiatives...Full timeVisa sponsorship$180k - $230k
...Your Job DEPCOM Power, a Koch Engineered Solutions company, is looking for a Vice President, Business Development for its rapidly expanding Services Business Unit. We're seeking an individual with an entrepreneurial drive to identify and secure business opportunities...Remote workFlexible hours- Company DescriptionLeading Residential Real Estate Firm.Job DescriptionThe Senior Vice President is responsible for the financial performance, growth, and strategic direction of the companies new home construction business. The position also provides oversight to the daily...Work at office
$275k - $325k
...advances in eye health, and we believe we are well positioned to continue leading the advancement of eye health in the future.The Vice President, Human Resources – Global Product Supply and R&D is a strategic HR executive and member of the HR Leadership Team (HRLT),...Work visa- ...Senior Vice President, Regulatory Affairs Location: Hybrid - Parsippany, NJ (or) Brisbane, CA (Hybrid) Reports to: CEO My client is a commercial-stage leader in non-opioid pain management and regenerative health solutions. They are dedicated to transforming patient...
$150k - $200k
...to anticipate, innovate and respond to whatever opportunities and challenges the future may hold. Responsibilities The Vice President of Human Resources (VP HR) serves as a strategic partner to senior leadership, driving business outcomes through innovative people...Full timeLocal areaWorldwide- ...Coyne is looking for an experienced Senior Vice President to join our growing healthcare/pharmaceutical practice. Candidates must have an exceptional understanding of pharmaceutical public relations experience at an agency. The candidate must be a big-picture thinker,...
$115k - $230k
...Vice President Of Engagement StrategyPosition at CMI Media GroupAre you poised to be the visionary architect of impactful channel-level media strategies that not only resonate deeply with business objectives but stand as the cornerstone of brand triumph?Our quest is for...- ...the continued success and smooth operation of the company’s on-site hospitality and tenant services. What do we seek? The Vice President of Operations will lead and oversee all hospitality operations across multiple properties. This is a strategic leadership role...Work at office
$218k - $401.35k
...VP, Global Medical Affairs, Solid Tumors. This is an office-based position in Raritan, New Jersey. Position Summary The Vice President (VP), Global Medical Affairs, Solid Tumors is responsible for leading the strategy and delivery of the Solid Tumor medical and...Full timeTemporary workWork at officeLocal areaWorldwide$115k - $230k
VP, Communications Planning Architect award-winning healthcare campaigns. Do you live and breathe consumer insights? Are you a strategic visionary with a passion for crafting communications plans that inspire action and deliver impactful results? CMI Media Group, the...$100k - $230k
About Ogilvy Ogilvy has been creating impact for brands through iconic, culture-changing, value-driving ideas since the company was founded by David Ogilvy more than 75 years ago. It builds on that rich legacy through Borderless Creativity—innovating at the intersection...Full timeWorldwide$100k - $230k
OGILVY HEALTH: WE INSPIRE PEOPLE AND BRANDS TO IMPACT THE WORLD Guided by this vision, Ogilvy Health, part of WPP, combines borderless creativity, scientific precision and cultural fluency to build healthcare’s most influential movements. We drive measurable impact ...Full time$132.72k - $208.84k
Job TitleThis person will be a key member of Payer Sciences' analytics team and will manage a team of data scientists and programmers to guide them in their day to day, including support with analytical methodologies, programming language and expertise on key pharma/ market...Temporary workFreelanceFlexible hours$90k - $200k
...and work product. Kroll’s Expert Services practice is world renowned for the high quality of its work. Kroll is looking for a Vice President to support our Expert Services team. As a Vice President you will assist engagement teams in creating analyses, financial models...Temporary work- ...Vice President, Global Medical Affairs, Solid Tumors About the Company Globally-renowned pharmaceutical company Industry Pharmaceuticals Type Privately Held, VC-backed Employees 10,001+ About the Role The Company is seeking a VP, Global Medical...Worldwide
- ...Vice President of Food & Beverage About the Company Prominent hospitality and commercial real estate organization managing high-quality properties and tenant experiences. Industry Commercial Real Estate Type Privately Held About the Role The Company...
- ...Vice President of Strategy About the Company Middle-market healthcare and pharmaceutical services platform supporting manufacturers and specialty pharmacies. Industry Pharmaceuticals Type Privately Held, Private Equity-backed About the Role The...
- ...Vice President, Compliance Operations About the Company Leading insurance firm for wealthy individuals & high net worth families Industry Insurance Type Privately Held, Private Equity-backed Founded 2006 Employees 501-1000 Categories ~ Insurance...
- ...Regional Vice President of Human Resources About the Company Reputable manufacturer of integrated wiring, cabling & connector products Industry Electrical/Electronic Manufacturing Type Privately Held Founded 1959 Employees 5001-10,000 Specialties...
$113k - $151k
...AON is looking for a Health Solutions Assistant Vice President hybrid in (Philadelphia, New York , New Jersey, New England , Connecticut) Are you intellectually curious with a passion to solve problems? Do you enjoy a flexible and collaborative, team-based environment...Full timeTemporary workPart timeWork at officeLocal areaFlexible hours- ...Coyne is looking for an experienced Assistant Vice President to join our growing Business/Industry group. You will have a strong understanding of business-to-business and corporate communications, with the ability to develop integrated public relations programs for organizations...
- ...Vice President, Digital Commerce, Technology, CPG, DTC About the Company Large CPG brand company building enterprise digital commerce and AI-enabled marketing capabilities. Industry Consumer Goods Type Privately Held About the Role The Company...
Do you want to receive more vacancies?
Subscribe and receive similar vacancies to Vice President, Payor. Be the first to apply!


