AVP, Payer Solutions

Responsibilities The Associate Vice President (AVP), Payer Solutions - Partnerships & Market Development is responsible for leading enterprise strategy and execution related to payer relationship advancement, market positioning, and partnership expansion. This role provides executive-level leadership in shaping payer engagement approaches that strengthen access, financial sustainability, and strategic growth. The AVP serves as a senior external-facing leader representing the organization in complex payer interactions while aligning internal stakeholders across contracting, operations, finance, analytics, clinical leadership, and value-based initiatives. This position drives identification, prioritization, and execution of market opportunities and supports the organization’s transition toward integrated, value-aligned partnership models. This role reflects the evolving complexity of payer engagement and requires strategic judgment, executive presence, and the ability to influence outcomes across diverse internal and external environments. Partnership Strategy & Market Development Lead development and execution of payer partnership strategies aligned with enterprise growth objectives Identify and prioritize strategic payer relationships across national, regional, and local markets Evaluate market opportunities to expand network presence, service line access, and partnership scope Represent the organization in executive-level payer discussions Drive relationship alignment supporting long-term collaboration and innovation Assess competitive market dynamics to inform engagement strategy Strategic Payer Engagement Provide senior leadership support in complex negotiations and relationship positioning Guide prioritization and coordination of payer engagement activities across regions Ensure payer relationships align with enterprise strategic and operational objectives Support resolution of escalated partnership or contract issues impacting market access or revenue performance Serve as strategic advisor to leadership on payer positioning risks and opportunities Integration Across Enterprise Initiatives Align payer partnership activities with value-based care initiatives Coordinate engagement strategies supporting employer market development Collaborate with CIN and clinical leadership to advance quality-aligned partnerships Support integration of acquisitions through strategic payer alignment Partner with business development to evaluate partnership implications of expansion initiatives Cross-Functional Leadership Coordinate collaboration between Managed Care, Operations, Legal, Finance, Analytics, and Provider Enrollment Ensure payer strategy alignment across functional and regional teams Remove barriers to execution and facilitate organizational coordination Provide leadership guidance to regional payer relations staff Market Intelligence & Strategy Development Evaluate national and regional managed care trends Identify emerging reimbursement and partnership models Translate insights into strategic action plans Prepare executive-level updates on partnership positioning and progress Organizational Leadership Provide mentorship and leadership development within the Payer Solutions organization Contribute to enterprise planning initiatives Support change management tied to strategic transformation Foster collaboration, accountability, and innovation Qualifications Education / Experience: Bachelor's Degree required. Master's Degree (MBA, MHA, MPH or related field) preferred 12-15+ years healthcare leadership experience required Experience in payer-provider partnership environments Demonstrated experience influencing complex negotiations or relationship outcomes Strong executive communication and stakeholder engagement skills Strategic thinking and market awareness Multi-market or national experience preferred Experience supporting value-based initiatives preferred Experience working across employer, CIN, or integrated delivery environments preferred Knowledge / Skills: Ability to demonstrate executive presence and influence across diverse stakeholder groups Ability to build, strengthen, and expand strategic relationships Ability to navigate complex negotiations with sound positioning and strategic judgment Ability to analyze markets, identify trends, and translate insights into opportunity Ability to apply strong financial and operational awareness to strategic decisionmaking Ability to lead organizations, inspire collaboration, and align crossfunctional teams Ability to communicate clearly and persuasively - both in writing and verbally Ability to distill complex information into clear, actionable insights Ability to travel nationally as required to support payer engagement and market development activities Benefits and Compensation Take great care of the patient, every day and every way. At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a wide array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: medical, dental, vision, life, disability, healthcare FSA, dependent care FSA and HSAs, as well as a 401(k) plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status. #J-18808-Ljbffr Academy of Managed Care Pharmacy