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Maryland Oncology Hematology · 5 hours ago

VP, Payer Relations

Lakeland Highlands, FL

Full-time

Hybrid

Mid, Senior Level

$94K/yr - $176K/yr

Maryland Oncology Hematology is seeking a strategic thinker and excellent negotiator for the role of VP, Payer Relations. This critical position focuses on payer contracting and reimbursement strategy to ensure optimal financial performance and sustainable growth across the organization.

Health CareHospitalMedicalOncology

H1B Sponsor Likely

Responsibilities

Conduct negotiations with commercial insurers, Medicare Advantage plans, Medicaid MCOs, and other payers

Develop and execute contracting strategies that align with organizational goals and market dynamics

Analyze reimbursement models and propose innovative contracting arrangements

Understand and negotiate both ideal economic and non-economic contract terms

Evaluate contract performance, rate structures, and utilization trends

Collaborate with finance and analytics teams to model financial impact of proposed agreements

Monitor Payor compliance and identify opportunities for revenue optimization

Meet goals for revenue enhancement

Partners with executive leadership, legal, revenue cycle, and clinical operations to align Payor strategies

Serve as liaison between the organization and Payor representatives

Educate internal stakeholders on contract terms, reimbursement policies, and Payor trends

Work with operations team to optimize Merit-based Incentive Payment System (MIPS) and value performance plans

Recommend and use outside services to provide market payment data and use to develop company negotiation strategies

Stay abreast of federal and state regulations affecting reimbursement and Payor contracting

Monitor competitive market activity and Payor behavior across multiple states

Provide strategic insights to inform expansion, acquisitions, and service line development

Qualification

Financial analysisPayer contractingNegotiation skillsAnalytical skillsLeadership skillsHealth care Payor modelsCommunication skills

Required

Bachelor's degree in finance, business, or health care or related field

Track record of successful negotiations skills

Strong analytical, communication, and leadership skills

Preferred

experience with health care Payor models including fee-for-service, capitation, bundled payments, and value-based care models

Benefits

Competitive Compensation – Base salary, performance bonuses, and regular reviews.

Health & Wellness – Comprehensive medical , dental, and vision insurance; and wellness program.

Retirement Planning – 401(k) with company match.

Generous Time Off – Paid vacation, sick leave, and company holidays.

Learning & Development –career growth programs.

Other Perks – Commuter benefits, Voluntary Accident and Critical Illness plans, FSA/HSA and Dependent Care FSA. employee discounts, and more.

Company

Maryland Oncology Hematology

Maryland Oncology Hematology is a community based healthcare institution specialized in research and treatment of cancer patients.

Founded in 1986

Columbia, Maryland, USA

501-1000 employees

https://marylandoncology.com/

H1B Sponsorship

Maryland Oncology Hematology has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)

Distribution of Different Job Fields Receiving Sponsorship

Represents job field similar to this job

Trends of Total Sponsorships

2022 (1)