Sign up to access all features of our service.
  • Job search
  • Favorites
  • Create a CV
    New
  • Salaries
  • Subscriptions

Vice President & Head of Payer Strategy

Confidential

Vice President & Head of Payer Strategy

About the Company

Well-regarded urgent care practice for children

Industry
Hospital & Health Care

Type
Privately Held

Founded
2005

Employees
1001-5000

Categories

  • Health Care
  • Medical Care
  • Health Centers
  • Clinics
  • Outpatient
  • B2C

Specialties

  • pediatrics
  • urgent care
  • and emergency medicine
  • emergency medicine
  • and mental health

About the Role

The Company is seeking a VP & Head of Payer Strategy to lead the enterprise payer strategy and negotiations for its urgent care and behavioral health service lines. This executive role is pivotal in owning national payer relationships, contract strategy, rate negotiations, and the development of value-based partnerships. The successful candidate will be responsible for translating clinical quality and patient outcomes into payer value propositions, negotiating contracts that ensure financial sustainability, and building strategic partnerships that position the company for long-term success. The role demands a high level of visibility, with direct exposure to the CEO, Board of Directors, and national payer C-suites. Applicants must have a minimum of 10 years' experience in healthcare payer strategy, network contracting, or health plan partnerships, with a proven track record of executive-level relationships and multi-million dollar contract negotiations. The role requires expertise in multi-site and multi-state healthcare, including experience with Medicaid managed care and telehealth reimbursement policies. Strong financial and analytical skills are essential, as is a background in value-based care and strategic partnership development. The ideal candidate will have an advanced degree in business, healthcare administration, or law, and may have a background in urgent care, behavioral health, or pediatric healthcare. Executive presence, strong negotiation skills, and the ability to lead cross-functionally are also key qualifications for this position.

Hiring Manager Title
Chief Commercial Officer

Functions

  • Strategy
  • Medical Care/Hospital Administration
Confidential
Vacancy posted 1 day ago
Similar jobs that could be interesting for youBased on the Vice President & Head of Payer Strategy in San Jose, CA vacancy
  •  ...Vice President of Payer Sales About the Company Industry-shaping healthcare technology (HealthTech) & software provider Industry Internet Type Privately Held, VC-backed Founded 2019 Employees 501-1000 Funding $76-$100 million Categories... 
    Suggested

    Confidential

    San Jose, CA
    15 hours ago
  •  ...Founding Vice President of Enterprise Sales, Healthcare Data & Analytics, Payers & Pharma About the Company Established healthcare organization investing in specialty...  ...and executing the company's enterprise sales strategy from the ground up, with a strong emphasis on... 
    Suggested

    Confidential

    San Jose, CA
    2 days ago
  •  ...Senior Vice President & General Manager, Acute & Payer About the Company Innovative provider of cloud-based software & services for the senior care industry Industry Computer Software Type Privately Held, VC-backed Founded 2000 Employees 1001... 
    Suggested

    Confidential

    San Jose, CA
    3 days ago
  •  ...Chief of Staff, Payer About the Company Leading mental healthcare network Industry Mental Health Care Type Privately...  ...clear, shared goals across product, clinical, commercial, and strategy functions. This is a unique opportunity to work in a high-... 
    Suggested

    Confidential

    San Jose, CA
    3 days ago
  •  ...Vice President of Solutions, BPO Sales About the Company A healthcare-focused solutions...  ...developing and executing multi-channel outreach strategies to engage senior decision-makers,...  ...lifecycle with a focus on healthcare payer organizations, and building executive-... 
    Suggested

    Confidential

    San Jose, CA
    4 days ago
  •  ...Senior Vice President, AI Transformation About the Company Leading marketing & media agency...  ...medical device marketing payer marketing and pharmacoeconomic consulting...  ...responsible for taking the AI agenda from strategy to execution, leading the delivery of AI... 

    Confidential

    San Jose, CA
    2 days ago
  •  ...Vice President, Business Development, Health Plan Pharmacy Market About the Company Innovative...  ...shaping and executing a focused growth strategy, building executive-level relationships...  ...in healthcare, pharmacy, PBM, or payer-related services, and a proven track record... 

    Confidential

    San Jose, CA
    1 day ago
  •  ...Vice President, BPO Solutions Sales About the Company Respected provider of top-notch...  ...developing and executing multi-channel outreach strategies to engage senior decision-makers,...  ..., particularly within the healthcare payer sector. The role is highly target-driven... 

    Confidential

    San Jose, CA
    15 hours ago
  •  ...Senior Vice President, ASC Operations About the Company Fast-growing ambulatory surgery...  ...setting and executing portfolio and ASC strategies, ensuring performance excellence in...  ...environments, multi-state governance, and payer contract negotiations is highly valued.... 
    Contract work

    Confidential

    San Jose, CA
    1 day ago
  •  ...Vice President of Revenue Cycle Management About the Company Enterprise leadership of revenue cycle operations across a complex healthcare...  ..., minimizing denials, and ensuring robust compliance with payer and regulatory standards. This executive will be responsible... 

    Confidential

    San Jose, CA
    2 days ago
  •  ...Vice President of Business Development About the Company A South Florida-based, mission...  ...Business Development to spearhead its growth strategy in the healthcare sector. The...  ...healthcare landscape, including providers, payers, health systems, and healthcare technology... 
    Contract work
    Remote work

    Confidential

    San Jose, CA
    15 hours ago
  •  ...Vice President of Solutions, BPO About the Company Provider of consulting, outsourcing...  ...and technology solutions for healthcare payers. Industry Information Technology...  ...developing and executing multi-channel outreach strategies to engage senior decision-makers,... 

    Confidential

    San Jose, CA
    2 days ago
  •  ...Vice President, Health Plan Business Development About the Company Digital health company...  ...candidate will be responsible for driving the strategy and execution of revenue generation and...  ...an existing network of health plan and payer executives to identify and close new... 

    Confidential

    San Jose, CA
    2 days ago
  •  ...Vice President, Enterprise Sales, Specialty Pharmacy & Healthcare Analytics About the Company...  ...is pivotal in driving the commercial strategy and market adoption of a differentiated...  ...developing ROI-driven business cases tied to payer economics and market access strategies.... 
    Remote work

    Confidential

    San Jose, CA
    4 days ago
  •  ...Vice President of Sales About the Company Emerging biopharmaceutical company Industry...  ...enterprise, with a focus on national sales strategy, building a high-performing field...  ...the U.S. healthcare ecosystem, including payer dynamics and specialty distribution, as... 

    Confidential

    San Jose, CA
    4 days ago
  •  ...Vice President of Revenue Cycle Strategy & Operations About the Company Rapidly growing managed service provider Industry Hospital & Health...  ...involved in strategic oversight for denials management, and payer recovery, and will be expected to partner with various... 

    Confidential

    San Jose, CA
    1 day ago
  •  ...Vice President of Operations About the Company Pioneering organization providing high-quality...  ...involves translating organizational strategy into operational plans, establishing and...  ...operations, compliance, staffing models, and payer environments, with a proven ability to... 

    Confidential

    San Jose, CA
    15 hours ago
  •  ...Vice President of Sales, Health Plans About the Company Innovative virtual care platform specializing...  ...to lead the national expansion of its payer growth engine. This pivotal role involves owning the go-to-market strategy, winning new payer partnerships, and... 

    Confidential

    San Jose, CA
    1 day ago
  •  ...Vice President, Product Management, Quality About the Company Ambitious provider of healthcare...  ...health leaders clinicians payers interoperability credentialing...  ...implementing a multi-year product vision, strategy, and roadmap, with a strong focus on AI... 

    Confidential

    San Jose, CA
    2 days ago
  •  ...Regional Vice President, Business Development About the Company Innovative provider of business intelligence & revenue recovery solutions...  .... A strong understanding of healthcare reimbursement models, payer requirements, and regulatory compliance is essential. The role... 
    Contract work

    Confidential

    San Jose, CA
    1 day ago
  •  ...Vice President of Technology Operations About the Company Innovative healthcare technology...  ..., particularly within the healthcare payer industry, and a proven ability to drive...  ...and implementation of technology strategies that support business models in medical... 

    Confidential

    San Jose, CA
    3 days ago
  •  ...Senior Vice President of Operations About the Company Innovative provider of virtual therapeutic...  ...credentialing, patient acquisition, and payer operations. This is a senior leadership...  ...the company's needs and translating its strategy into operational execution. Applicants... 

    Confidential

    San Jose, CA
    3 days ago
  •  ...Senior Vice President of Commercial Sales About the Company Innovative virtual care platform specializing in women...  ...commercial sales organization, setting and owning the payer and employer go-to-market strategy, and building the alliance and channel engine. This role... 

    Confidential

    San Jose, CA
    1 day ago
  • $178.8k - $238.7k

     ...the connective tissue between all the parts of the North America business unit (BU) and the connection point to the central Live strategy & ops team. As part of that mandate:Set up and own review cadences for the GM with the BU or cross functional teams, ensuring the... 
    Immediate start
    Remote work
    Visa sponsorship

    eBay

    San Jose, CA
    1 day ago
  •  ...We are currently looking for a Volunteer Board Member – Vice President to join the leadership team at Chester’s Corner Rescue Foundation...  ...with the board to guide foster, adoption, and operational strategies. Assist in shaping organizational policy and long-term growth... 
    Immediate start

    Chester’s Corner Rescue Foundation

    San Jose, CA
    4 days ago
  •  ...Vice President, Group Copy Supervisor About the Company Leading marketing & media agency focused on the healthcare sector Industry...  ...direct-to-consumer advertising medical device marketing payer marketing and pharmacoeconomic consulting pharmacoeconomic... 
    Work at office

    Confidential

    San Jose, CA
    15 hours ago
  •  ...experience leading engineering teams, a strong background in robotics integration, and an advanced degree in a relevant field. Join us to influence cutting-edge automation strategies and play a pivotal role in the evolution of the industry. #J-18808-Ljbffr Tata Electronics

    Tata Electronics

    Santa Clara, CA
    2 days ago
  •  ...Vice President, Executive Search & Business Development About the Company Nationally recognized executive search firm Industry Staffing and Recruiting Type Privately Held Founded 1979 Employees 1-10 Categories Consulting & Professional... 

    Confidential

    San Jose, CA
    2 days ago
  • $306k

     ...Your Role:We are seeking a visionary, strategic, and technical Vice President, Product Management for Nutanix Database Service (NDB) to...  ...Product Management - NDB, you will own the end-to-end product strategy, roadmap, and execution for our next-gen database management... 
    Work at office
    Remote work
    Relocation package
    3 days per week

    Nutanix

    San Jose, CA
    1 day ago
  • $294.5k - $350k

     ...Facebook.The Role & TeamDruva is seeking an experienced and driven Vice President of Finance to lead strategic financial management, which is...  ...role will be instrumental in shaping the company's financial strategy, measuring performance, and long-term planning across all... 
    Full time

    Druva

    Santa Clara, CA
    15 hours ago

Do you want to receive more vacancies?

Subscribe and receive similar vacancies to Vice President & Head of Payer Strategy. Be the first to apply!