Vice President Payer Strategy

Visante Consulting LLC•Saint Paul, MN

7d•Remote

About The Position

The Vice President of Payer Contracting is a senior strategic executive responsible for designing, negotiating, and optimizing payer agreements that strengthen financial performance and ensure broad, sustainable access for patients and clients. This leader develops enterprise-wide payer contracting strategies, oversee execution across all payer relationships, and ensures alignment with organizational priorities in a continually evolving reimbursement landscape. This position will work closely with health plans, PBMs, specialty networks, TPAs, government payers, and other reimbursement entities. This role requires deep expertise in payer dynamics, reimbursement methodologies, pharmacy benefit structures, and regulatory trends influencing pharmacy-driven performance. In addition, the role requires strong negotiation capabilities, partner-relationship management, executive leadership, and the ability to synthesize complex payer trends into strategic action. The VP collaborates with clients, payers, and Visante’s consulting teams to transform payer insights into strategies that unlock revenue growth, reduce medication access barriers, and position pharmacy as a strategic asset for the health systems Visante serves. Reporting to the Chief Strategy Officer, the VP will shape and expand Visante’s payer-focused service offerings, support client engagements, and strengthen payer-related intelligence across the organization.

Requirements

Minimum of eight (8) years of progressive experience in payer contracting, managed care, healthcare finance, or reimbursement strategy.
Expert understanding of payer reimbursement methodologies across commercial, Medicare, and Medicaid segments.
Advanced negotiation skills with demonstrated success in high-value contract execution.
Strong analytical and financial modeling capabilities.
Deep knowledge of regulatory, legislative, and policy trends affecting reimbursement.
Executive presence with exceptional communication and relationship-management skills.
Ability to drive cross-functional alignment and lead teams in a matrixed environment.
Strategic thinker with a solutions-oriented mindset and strong sense of ownership.

Nice To Haves

Master’s Degree in Business, Healthcare Administration, Public Health, or related discipline
Prior leadership experience in payer relations, network management, or value-based contracting.
Advanced payer contracting or managed care certifications a plus.

Responsibilities

Lead development and execution of national and regional payer contracting strategies across all payer segments.
Negotiate commercial, Medicare, Medicaid, and specialty network agreements to optimize reimbursement and ensure competitive market positioning.
Build and maintain strong executive-level relationships with payer decision-makers, networks, and channel partners.
Conduct financial modeling, scenario analysis, and forecasting to inform strategic contracting decisions.
Monitor and interpret regulatory and reimbursement trends to anticipate changes affecting payer agreements.
Partner with internal legal, finance, clinical, and operations teams to ensure alignment and risk mitigation across all payer arrangements.
Identify opportunities for value-based care, outcomes-based agreements, and innovative contracting methodologies.
Oversee analytics, reporting, and performance tracking to ensure payer contract compliance and financial accuracy.
Lead internal education and communication related to payer strategies and contract updates.
Support development and refinement of new payer-focused service offerings and initiatives.