The US Oncology Network · 3 hours ago
VP, Payer Relations
Lakeland Highlands, FL
Full-time
Onsite
Mid, Senior Level
$94K/yr - $176K/yrThe US Oncology Network is seeking a strategic thinker and excellent negotiator for a hands-on role in payer contracting and reimbursement strategy across their multistate medical practice. This role is critical to ensuring optimal financial performance and strong relationships with Payors, involving negotiations, financial analysis, and stakeholder collaboration.
CommunitiesHealth CareMedicalOncologyTest and Measurement
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
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
The US Oncology Network
Every day, The US Oncology Network helps approximately 3,300 providers deliver value-based, integrated care for patients—close to home.
Founded in 1992
10001+ employees
Funding
Current Stage
Late StageTotal Funding
unknown2010-12-30Acquired
Leadership Team
R. Steve Paulson
National Policy Board Executive Committee
Recent News
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