Senior Vice President, Payer Strategy

Visante Consulting LLC•Saint Paul, MN

7d•Remote

About The Position

The Senior Vice President of Payer Contracting is an executive leader responsible for setting and executing the enterprise-wide vision, strategy, and governance for payer contracting across all markets and lines of business. This role owns the long-term payer strategy that drives sustainable revenue growth, optimizes reimbursement performance, and advances pharmacy as a strategic asset for health systems and clients. The SVP provides executive oversight of all payer relationships, including commercial health plans, PBMs, specialty networks, TPAs, and government payers, and serves as the organization’s senior authority on payer economics, reimbursement models, and contracting innovation. This leader translates complex payer and regulatory dynamics into actionable strategies that shape organizational priorities, client offerings, and market positioning. Reporting to the Chief Strategy Officer, the Senior Vice President partners closely with executive leadership, clients, payers, and internal consulting teams to expand payer-focused services, guide high-impact negotiations, and strengthen payer intelligence across the enterprise. The SVP leads senior contracting leaders, mentors emerging executives, and ensures alignment between payer strategy, financial performance, and organizational growth objectives.

Requirements

Bachelor’s Degree in Business, Healthcare Administration, Finance, Economics, or related field.
Minimum of twelve (12) years of progressive experience in payer contracting, managed care strategy, healthcare finance, or reimbursement leadership
Deep, enterprise-level expertise in payer reimbursement methodologies across commercial, Medicare, and Medicaid markets
Proven executive negotiation experience with complex, high-value payer and network agreements
Advanced financial, actuarial, and economic modeling acumen
Strong understanding of healthcare policy, regulatory trends, and payer market evolution
Executive presence with exceptional communication, influence, and relationship-management skills
Ability to lead senior leaders and drive alignment in a highly matrixed environment
Strategic, forward-looking mindset with strong ownership and accountability

Nice To Haves

Master’s Degree in Business, Healthcare Administration, Public Health, or related discipline.
Prior executive-level leadership overseeing payer strategy, contracting teams, or enterprise reimbursement initiatives.
Advanced payer contracting or managed care certifications a plus.

Responsibilities

Establish and lead the enterprise-wide payer contracting vision, strategy, and governance framework across all payer segments.
Provide executive leadership for high-stakes national and regional payer negotiations, including commercial, Medicare, Medicaid, and specialty agreements.
Build and sustain executive-level relationships with senior payer, PBM, and network leadership to advance long-term strategic partnerships.
Oversee advanced financial modeling, scenario analysis, and forecasting to inform executive decision-making and board-level discussions.
Anticipate and respond to regulatory, legislative, and reimbursement trends that materially impact payer economics and access strategies.
Partner with executive leaders across legal, finance, clinical, operations, and consulting teams to ensure alignment, risk management, and contract integrity.
Champion innovative contracting approaches, including value-based, outcomes-based, and alternative reimbursement models.
Establish performance management, analytics, and reporting standards to ensure payer contract compliance, optimization, and transparency.
Serve as an executive advisor to clients and internal leaders on payer strategy, market dynamics, and reimbursement optimization.
Shape, expand, and commercialize payer-focused service offerings that differentiate the organization in the marketplace.