Vice President, Payer Relations & Contracting
Quick Summary
The Vice President, Payer Relations & Contracting leads IVX Health's national payer strategy, contracting, reimbursement optimization, and health plan partnerships.
Responsibilities
~1 min read- 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.
- 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.
- 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.
- 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.
Requirements
~1 min read- 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.
Nice to Have
~1 min read- 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.
- 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.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We’re transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well—we empower our team to thrive while living our core values: Be Kind, Do What’s Right, Never Settle, Make It Happen, and Enjoy the Ride.
What We Offer
~2 min readIVX Health is proud to be an Equal Opportunity Employer. We value diversity and are committed to creating an inclusive environment for all employees. IVX Health wants to have the best available people in every job, and we make employment decisions on the basis of business needs, job requirements, individual qualifications, and merit. Equal employment opportunities are provided to all employees and applicants for employment without regard to race, color, religion, sex, sexual orientation, gender identity, pregnancy, national origin, military and veteran status, age, physical or mental disability, genetic characteristic, reproductive health decisions, family or parental status, or any other legally protected category in accordance with applicable federal, state, or local laws. IVX Health prohibits discrimination, harassment, or retaliation of any kind based on any of these characteristics. Equal employment opportunity will be extended to all persons in all aspects of the employer-employee relationship and all terms and conditions of employment, including, but not limited to, hiring, training, promotion, discipline, compensation benefits, and separation of employment.
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Location & Eligibility
Listing Details
- Posted
- August 7, 2026
- First seen
- August 7, 2026
- Last seen
- August 7, 2026
Posting Health
- Days active
- 0
- Repost count
- 0
- Trust Level
- 60%
- Scored at
- August 7, 2026
Signal breakdown
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