Pinnacle living

Vice President of Payer Solutions

Pinnacle living$150K — $200K *
Eagle, ID 83616In-Person
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • 10+ years in healthcare leadership with managed care and payer strategy expertise
  • Proven success in negotiating complex agreements driving revenue growth
  • Strong grasp of home health, hospice, or post-acute reimbursement
  • Ability to influence stakeholders at all levels with executive presence
  • Experience leading multi-state initiatives with a data-driven approach

Responsibilities

  • Drive a national payer strategy for growth and competitive advantage
  • Innovate reimbursement models including value-based and episodic arrangements
  • Negotiate complex payer contracts to optimize performance and rates
  • Facilitate market expansion and support M&A activities
  • Implement value-based care programs to enhance outcomes for high-cost populations
  • Align cross-functional teams in operations, clinical, finance, and business development
  • Use performance analytics to improve payer mix and profitability

Benefits

  • Opportunity to impact national healthcare strategy
  • Engagement in innovative care models and reimbursement practices
  • Leadership role in shaping cross-functional collaboration
  • Pathway for professional growth in a dynamic environment
Full Job Description
Pennant is seeking a senior leader to drive enterprise-wide payer strategy, value-based care innovation, and growth execution across Medicare Advantage, Managed Medicaid, commercial payers, and emerging risk models.

What You'll Lead
  • National payer strategy that fuels growth, margin expansion, and competitive differentiation
  • Innovative reimbursement models including episodic, value-based, and shared-savings arrangements
  • Complex payer negotiations to optimize rates, terms, and performance incentives
  • Market expansion in priority geographies, including support for M&A and new service lines
  • Value-based care programs improving outcomes for high-cost, high-acuity populations
  • Cross-functional alignment with operations, clinical leadership, finance, and business development
  • Performance analytics to strengthen payer mix, contract performance, and margin realization


What You Bring
  • 10+ years in healthcare leadership with deep expertise in managed care and payer strategy
  • Proven success negotiating complex agreements and driving revenue growth
  • Strong understanding of home health, hospice, or post-acute reimbursement
  • Executive presence with the ability to influence at all levels
  • Data-driven decision-making and a track record of leading multi-state initiatives


Impact
  • Stronger payer partnerships
  • Improved reimbursement and margin performance
  • Scalable value-based care models
  • Aligned growth strategy across markets and service lines


About Pinnacle living

Pinnacle Financial Partners is an American bank headquartered in Nashville, Tennessee operating in Middle Tennessee, East Tennessee, and, since June 2017, North Carolina, South Carolina, and Virginia.
Learn more about Pinnacle living
Industry
Founded
1980

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