Vice President, Payer Relations & Contracting
IVX HealthBrentwood, Tennessee, United States · Posted 21 days agoDescription
Key Responsibilities
Payer Strategy & Contracting
- Lead IVX's national payer contracting and network access strategy.
- Negotiate and manage agreements with commercial, Medicare Advantage, Medicaid, and regional health plans.
- Expand payer participation, improve reimbursement economics, and support new market growth.
- Build executive relationships with key payer organizations and position IVX as a preferred site-of-care partner.
Reimbursement & Performance
- Own enterprise reimbursement strategy and contract performance.
- Identify opportunities to improve reimbursement, prevent underpayments, and strengthen contract compliance.
- Monitor payer policy, medical necessity, and reimbursement trends affecting patient access and revenue.
- Partner with Revenue Cycle, Finance, Operations, and Legal to address reimbursement risks and opportunities.
Strategic Partnerships
- Serve as IVX's executive liaison to payer organizations.
- Lead payer business reviews and strategic planning discussions.
- Support select employer, TPA, and alternative reimbursement partnerships.
- Identify opportunities to expand payer collaboration and value creation.
Leadership & Collaboration
- Align payer strategy across Growth, Operations, Clinical, Revenue Cycle, Finance, Legal, and Analytics teams.
- Translate contractual commitments into operational execution.
- Lead and develop the payer strategy function.
- Establish KPIs tied to network growth, reimbursement performance, and enterprise objectives.
Qualifications
Required
- 10+ years of healthcare leadership experience in payer relations, managed care contracting, reimbursement strategy, or network development.
- Bachelor's degree required.
- Proven success negotiating payer contracts and expanding network access.
- Experience supporting ambulatory, infusion, specialty, or alternative site-of-care healthcare organizations.
- Deep knowledge of managed care, reimbursement, specialty drug economics, payer operations, and medical policy.
- Strong executive communication, relationship-building, and financial acumen.
Preferred
- Experience in infusion services, specialty pharmacy, ambulatory care, or provider organizations.
- Established relationships with major national payers including UnitedHealthcare, Cigna, Aetna, Elevance, BCBS plans, and Humana.
Success Measures
- Expanded payer access and covered lives.
- Improved reimbursement rates and contract performance.
- Successful payer negotiations and renewals.
- Strong executive payer relationships.
- Margin improvement and reimbursement optimization.
- Achievement of growth and financial goals.
About IVX Health
IVX Health is a national provider of infusion and injection therapy for patients managing complex chronic conditions. Through a patient-centered approach focused on comfort, convenience, clinical excellence, and exceptional service, we're redefining the care experience and improving lives every day. As a growing healthcare organization, we're committed to supporting our employees with meaningful work, professional development opportunities, and a culture built on collaboration, innovation, and purpose.
Guided by Our Purpose
Mission: To improve the lives of those we care for by redefining the care experience.
Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions.
Values: Be Kind. Do What's Right. Never Settle. Make It Happen. Enjoy the Ride.
Benefits & Perks
- Medical, Dental, and Vision Coverage
- Prescription Drug Coverage and Telemedicine Services
- Health Savings Account (HSA), Health Reimbursement Arrangement (HRA), and Flexible Spending Options
- 401(k) Retirement Plan with Company Match
- Life, AD&D, and Disability Insurance
- Accident, Critical Illness, and Hospital Indemnity Coverage
- Fertility and Family Planning Support
- Tuition Reimbursement and Certification Assistance
- Continuing Education and Professional Development Resources
- Employee Assistance Program and Wellness Support
- Paid Time Off
- Volunteer Time Off and Charitable Giving Match
- Employee Referral Bonus Program
EEO STATEMENT
Privacy Policy
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