Vice President, Payer Contracting & Strategy jobs in United States
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Brigade Health ยท 19 hours ago

Vice President, Payer Contracting & Strategy

Brigadehealth is seeking a Vice President, Payer Contracting & Strategy to lead their national payer contracting and managed care strategy. This role focuses on strengthening partnerships across commercial, Medicare, and Medicaid health plans, overseeing the entire payer lifecycle and collaborating with cross-functional teams to support market expansion and value-based care initiatives.

Hospital & Health Care

Responsibilities

Own the full payer contracting lifecycle: Lead payer engagement from initial outreach and strategy development through contract submission, negotiation, redlining, execution, renewals, and ongoing relationship management
Expand national payer relationships: Leverage an established network and existing relationships to grow partnerships with commercial, Medicare Advantage, and Medicaid payers across multiple markets
Lead payer strategy & reimbursement optimization: Define and execute payer partnership strategies that align reimbursement models, operational workflows, and financial performance across service lines
Support new market expansion: Drive contracting efforts for new states and markets, working with local, regional, and national health plans
Build scalable contracting infrastructure: Develop repeatable systems and processes for payer contracting, credentialing coordination, roster management, compliance, and performance tracking
Cross-functional leadership: Collaborate with executive leadership, general managers, credentialing, revenue cycle, and operations teams to translate payer requirements into operational execution
Serve as the internal payer expert: Advise leadership on payer policy, regulatory changes, reimbursement trends, and managed care best practices
People leadership: Recruit, develop, and lead a high-performing payer contracting and managed care team as the organization scales
Perform other related duties as assigned

Qualification

Payer contractingReimbursement optimizationManaged care strategyHealthcare experienceRevenue cycle managementContract management toolsExecutive communicationKPI definitionRelationship managementTeam leadership

Required

10+ years of healthcare experience within payer/health plan organizations, risk-bearing providers (IPA/MSO), managed care organizations, institutional providers, home health, hospice, or health technology companies
5+ years of direct payer contracting and/or credentialing leadership experience, with demonstrated success negotiating managed care and primary care contracts
Deep relationships and credibility within the payer and managed care ecosystem
Strong understanding of reimbursement models, payment methodologies, value-based care, and medical group economics
Working knowledge of revenue cycle management (RCM), claims, and payer operations to ensure contracts are operationally executable
Experience building or scaling a payer relations or contracting function in a high-growth or tech-enabled healthcare environment
Proficiency with MS Office, CRMs, databases, and contract management tools
Exceptional written and verbal communication skills, including executive-level presentation abilities

Preferred

Experience in a healthcare startup or growth-stage organization
Proven ability to define KPIs, establish operational cadence, and drive measurable outcomes
Preference for candidates based in Southern California (open to remote candidates)
Ability to travel periodically to Southern California headquarters and partner sites

Company

Brigade Health

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Funding

Current Stage
Growth Stage
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