Overview
Vice President, Payor Strategy & ContractingBuild the Strategy. Influence the Future. Expand Access to Care.As Vice President of Payor Strategy & Contracting, you'll lead the development and execution of our national payer strategy while partnering across the organization to deliver measurable business results.
You will:
- Develop and execute innovative payer strategies that support organizational growth and increase access to autism services.
- Lead negotiations for complex commercial and Medicaid contracts while maximizing reimbursement and strengthening strategic partnerships.
- Evaluate market trends, reimbursement models, and competitive intelligence to identify opportunities before others do.
- Analyze contract performance, financial outcomes, and reimbursement methodologies to drive informed business decisions.
- Balance strategic priorities with financial discipline to improve profitability while supporting our mission.
- Collaborate across Revenue Cycle, Finance, Clinical Operations, Analytics, Authorizations, Legal, Compliance, and Executive Leadership to remove barriers and improve execution.
- Build executive-level relationships with commercial insurers, Medicaid organizations, brokers, and strategic healthcare partners.
- Present recommendations, financial analyses, and strategic initiatives to executive leadership and the Board with confidence and credibility.
- Lead initiatives involving value-based care, alternative payment models, and innovative reimbursement strategies.
- Mentor and develop a high-performing contracting team while fostering accountability, collaboration, and continuous improvement.
Who Thrives HereYou are someone who naturally looks around corners.
You ask questions others don't think to ask because you're genuinely curious about how systems work and why challenges exist. Rather than treating symptoms, you identify root causes and build long-term solutions.
You combine strategic thinking with relentless execution. You don't wait for opportunities - you create them.
You enjoy bringing diverse teams together around a common objective and have the credibility to influence people across every level of an organization.
Most importantly, you understand that strategy only matters when it delivers measurable results.
What We're Looking ForWe're seeking a leader who is:
- Strategic and visionary, able to anticipate market changes and develop innovative solutions before competitors.
- Driven by results, with an exceptional sense of urgency and personal accountability for achieving ambitious goals.
- Tenacious and resilient, navigating obstacles with persistence while maintaining momentum.
- Naturally curious, constantly asking "why" and uncovering opportunities others overlook.
- Financially and commercially astute, balancing reimbursement strategy, profitability, and long-term business growth.
- Highly analytical, using data to evaluate opportunities, assess financial risk, and make sound business decisions.
- Detail-oriented, understanding that successful negotiations and contracts are built on precision and accuracy.
- A trusted relationship builder, developing credibility with health plans, executives, physicians, and internal partners.
- An exceptional cross-functional collaborator, bringing together diverse teams to achieve shared business objectives.
- A confident communicator, capable of presenting complex strategies and recommendations to executive leadership and the Board with clarity and executive presence.
- A collaborative leader, who inspires others while driving accountability and organizational alignment.
Qualifications- Bachelor's degree in Healthcare Administration, Business, Finance, Public Health, or related field.
- Master's degree (MBA, MHA, or related discipline) preferred.
- 10+ years of progressive leadership experience in managed care, healthcare strategy, payer contracting, reimbursement, or health plan leadership.
- Extensive experience negotiating commercial insurance and Medicaid contracts.
- Strong understanding of managed care operations, healthcare reimbursement, value-based care, and contract economics.
- Demonstrated success building payer strategies that improve financial performance and organizational growth.
- Proven experience leading cross-functional initiatives involving Finance, Revenue Cycle, Operations, Legal, Clinical Leadership, and Executive teams.
- Outstanding negotiation, communication, presentation, and executive relationship-building skills.
Every strategy you develop has a direct impact on families waiting for autism services.
Every partnership you build expands access to care.
Every negotiation helps strengthen our ability to serve more children, enter new markets, and improve lives.
If you're looking for an executive role where your strategic thinking, business acumen, and leadership will influence the future of healthcare - not simply manage contracts - we invite you to join Behavioral Innovations and help shape what's next.
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