VP-Payer Strategy

Location Address: Remote Office
Austin, 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.

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