Vice President, Payor

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.”