Women's Care · 1 month ago
Vice President of Payer Strategy (70193)
Tampa, FL
Full-time
Onsite
Director/Executive
15+ years expWomen’s Care is a leading women’s healthcare group in the United States, dedicated to providing high-quality care for women. The Vice President of Payer Strategy will lead the enterprise-wide managed care strategy, overseeing payer relationships and negotiating contracts to optimize reimbursement and strengthen partnerships.
Health CareHospitalNutritionWomen's
Responsibilities
Lead enterprise payer strategy, including national and regional payer relationships, contract negotiations, renewals, and performance management
Negotiate fee-for-service, value-based, and alternative payment model agreements; achieve targeted financial outcomes and growth goals
Redline and review managed care contract language and reimbursement provisions; recommend improvements
Drive analytical processes and performance documentation related to negotiation strategies, managed care rates, reimbursement trends, and contract performance
Partner with Finance, Revenue Cycle, Operations, and Clinical Leadership to implement contract terms, optimize revenue capture, and resolve payer issues including denials, underpayments, takebacks, and payer compliance issues
Develop and deliver clear communication plans for negotiations, contract changes, credentialing updates, and payer developments
Stay current on market trends, regulatory changes, reimbursement methodologies, and competitive dynamics
Oversee credentialing operations, ensuring efficiency, accuracy, and compliance with payer, regulatory, and accrediting requirements
Demonstrates and embodies the Women’s Care mission and core values
Compliance with all HIPAA rules, regulations, and guidelines
Other duties as assigned
Qualification
Required
Bachelor's degree required; Master's degree preferred
15+ years progressive healthcare leadership experience, including at least 7 years in managed care contracting within physician groups or payers
Demonstrated success leading negotiations of fee-for-service and value-based agreements using quality data, market benchmarks, and payer performance history
Advanced proficiency in Excel; experience with BI tools (Power BI preferred) and contract management platforms strongly desired
Strong financial acumen, analytical capability, and ability to interpret complex contracts
Excellent communication, presentation, and relationship-building skills
Proven ability to lead teams, drive accountability, and operate effectively in a fast-paced environment
Hands-on, execution-focused leader comfortable with both strategic and tactical responsibilities
Deep knowledge of commercial insurance products, reimbursement methodologies, and market dynamics
Requires effective communication with internal leaders, providers, external partners, and payer executives. Must manage multiple priorities and operate effectively in a fast-paced, evolving environment
Role requires regular in-office presence in Tampa, FL
Preferred
Master's degree preferred
Power BI preferred
Benefits
Health, dental, and vision benefits
Paid time off and paid holidays
401k plan
Company
Women's Care
Women's Care provides obstetrics and gynecologic care services.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Tushar Ramani
Chief Executive Officer
Kimberly Smith
Chief Financial Officer
Company data provided by crunchbase