Location Address:
Remote OfficeAustin, TX 78701

Summary:
Presbyterian Healthcare Services (PHS) seeks a strategic, influential executive to serve as Vice President of Payer Strategy for the Presbyterian Delivery System (PDS). This is a high-impact role at the intersection of finance, strategy, and payer relations-responsible for shaping how the organization delivers sustainable growth in an increasingly complex reimbursement landscape.

This leader will define and execute a system-wide payor contracting and revenue optimization strategy across a diverse and integrated delivery network.
The Vice President will lead negotiations, advance value-based care models, and drive net revenue performance across hospitals, medical group, ambulatory services, and specialty service lines.

This is an ideal role for a seasoned healthcare executive who combines deep reimbursement expertise, strong financial acumen, and executive presence-with the ability to influence both internal stakeholders and external payer partners in a rapidly evolving healthcare environment.

Work Arrangement
• Remote: Open to applicants in the United States, excluding CA, IL, ND, NY, OH, WA, and WY.
• Hybrid: For individuals within 60 miles of Albuquerque, in-office presence is required Tuesday through Thursday.

Job Description:

Strategic Payor Leadership

• Define and execute a system-wide payer contracting strategy aligned with growth, market positioning, and financial performance goals
• Develop and implement a comprehensive managed care strategic and tactical plan with clear performance targets
• Identify and advance innovative reimbursement models, including value-based and risk-based arrangements

Contracting & Negotiation Excellence

• Lead and oversee negotiations of commercial and governmental managed care agreements to secure optimal reimbursement
• Serve as authorized signatory for managed care contracts
• Continuously evaluate contract performance and lead renegotiation or restructuring efforts as needed

Revenue Optimization & Financial Performance

• Drive initiatives to enhance net revenue yield through contract optimization, recovery efforts, and performance monitoring
• Analyze reimbursement trends and implement targeted interventions to address risk areas and improve outcomes
• Contribute to financial forecasting, budgeting, and capital planning processes

Operational Oversight & Governance

• Establish and oversee performance monitoring frameworks and reporting to track managed care outcomes
• Ensure robust internal controls, compliance with regulatory requirements, and alignment with enterprise financial systems
• Lead system configuration and optimization of contract management tools and reporting capabilities

Organizational Leadership & Collaboration

• Lead, mentor, and develop a high-performing managed care and contracting team
• Foster cross-functional collaboration across Finance, Revenue Cycle, Operations, Strategy, and Physician Integration
• Serve as a trusted advisor to executive leadership, providing insights and recommendations on payor strategy and risk

Relationship Management & Market Influence

• Build and sustain strong relationships with managed care organizations and key external stakeholders
• Represent PHS in payer negotiations, regulatory discussions, and industry forums
• Collaborate across the enterprise to strengthen market position and grow accretive service lines

Success Measures

Within the first 12-24 months, the Vice President will:

• Strengthen Contract Performance: Improve reimbursement yield and contract effectiveness across the system
• Advance Value-Based Strategy: Expand and optimize value-based agreements with measurable financial and quality outcomes
• Enhance Revenue Integrity: Identify and execute net revenue improvement and recovery initiatives
• Elevate Payer Relationships: Build strategic, durable relationships with key payor partners
• Drive Organizational Alignment: Establish clear accountability, metrics, and governance for managed care performance

Additional Job Description:

Education

• Required: Master's degree in Business, Healthcare Administration, Finance, or related field

Knowledge & Work Experience

• Experience: Minimum of 15 years of progressive experience in payer strategy, managed care contracting, or healthcare finance
• Leadership: Demonstrated success in senior leadership roles within integrated health systems or complex healthcare organizations
• Reimbursement Expertise: Deep knowledge of reimbursement methodologies, including fee-for-service, value-based care, risk-sharing, and capitation models
• Industry Acumen: Strong understanding of healthcare policy, regulatory environments, and evolving payment models

Core Competencies

• Strategic Negotiator: Proven ability to lead high-stakes payer negotiations and secure favorable outcomes
• Financial Acumen: Advanced analytical and financial modeling capabilities with strong business judgment
• Enterprise Leader: Experience operating within complex, matrixed healthcare systems
• Influential Communicator: Ability to translate complex financial concepts into actionable insights for executive and clinical leaders
• Relationship Builder: Skilled at developing trust-based relationships with internal stakeholders and external partners
• Change Agent: Demonstrated success leading transformation and driving results in dynamic, evolving environments
• High Emotional Intelligence: Navigates conflict, complexity, and ambiguity with diplomacy and professionalism

Benefits
Benefits are effective day-one (for .45 FTE and above) and include:

• Competitive salaries
• Full medical, dental and vision insurance
• Flexible spending accounts (FSAs)
• Free wellness programs
• Paid time off (PTO)
• Retirement plans, including matching employer contributions
• Continuing education and career development opportunities
• Life insurance and short/long term disability programs