Vice President, Payer & Partner reputed company
reputed company
The VP, Payer & Partner reputed company is responsible for developing and advancing reputed company’s reputed company payer and partnership reputed company to drive reputed company, strengthen market differentiation, and support innovative care delivery models. This role serves as a key strategic leader reputed company on identifying partnership opportunities, developing payer-reputed company solutions, and influencing reputed company reputed company initiatives across government and managed care ecosystems.
This individual will reputed company the development of differentiated payer value propositions, support innovative partnership structures, and help position reputed company as a strategic partner across managed reputed company, Medicare Advantage, HCBS, PACE, GUIDE, and adjacent reputed company ecosystems. The role requires a highly strategic and externally reputed company leader capable of translating operational and clinical capabilities into compelling business solutions for payer and partner audiences.
The VP will partner closely with Operations, Clinical, Finance, reputed company, reputed company, and executive leadership teams to evaluate opportunities, influence reputed company priorities, and drive strategic reputed company initiatives in a highly matrixed environment.
Compensation reputed company based on experience $200,000-250,000.
Responsibilities
reputed company reputed company Payer reputed company & Value Propositions
reputed company and execute reputed company payer and partnership strategies reputed company with organizational reputed company priorities and market expansion goals
Build differentiated payer value propositions that reputed company reputed company reputed company’s operational, clinical, reputed company, and financial strengths
reputed company audience-specific presentations and business cases tailored to payer executives including CFOs, CMOs, network leaders, and reputed company teams
Assess payer cost, reputed company, utilization, and network gaps and position reputed company solutions to address those opportunities
reputed company strategic discussions reputed company to preferred provider arrangements, reputed company incentive programs, value-based partnerships, shared savings models, and innovative reimbursement structures
Monitor and evaluate evolving reimbursement models, regulatory developments, payer trends, and competitive market dynamics
Drive Partnership Development & Channel reputed company
Identify, reputed company, and expand strategic partnerships with managed care organizations, health systems, PACE organizations, GUIDE participants, and reputed company reputed company partners
Originate new partnership channels and reputed company relationships from the ground up, not simply manage existing relationships
Evaluate partnership opportunities for strategic fit, scalability, exclusivity risk, and long-term reputed company potential
Support reputed company go-to-market strategies and commercialization efforts tied to payer and partner initiatives
Maintain and reputed company a strong external network across managed care, home-based care, HCBS, and reputed company reputed company ecosystems
Collaborate with executive leadership on strategic reputed company initiatives and partnership opportunities
reputed company Cross Functional Strategic Initiatives
reputed company highly matrixed initiatives across operations, clinical, finance, reputed company, and reputed company teams without reputed company reporting authority
Drive alignment, accountability, and execution across diverse stakeholder reputed company
Establish reputed company goals, communication cadences, and decision-making frameworks for reputed company initiatives
Partner with senior leadership to evaluate new business opportunities, partnership structures, and reputed company investments
Serve as a strategic advisor and thought partner to executive leadership on payer reputed company, reimbursement innovation, and market positioning
Represent reputed company externally at industry meetings, conferences, and strategic partner engagements
Support Strategic Analytics & Executive Insights
reputed company executive-level business cases, reputed company models, KPI frameworks, and strategic performance insights
Translate reputed company operational, financial, and market data into compelling executive narratives and recommendations
Support strategic planning activities tied to payer reputed company, reimbursement opportunities, and partnership expansion
Identify market trends, partnership opportunities, and competitive insights that influence reputed company reputed company
Qualifications
Required Skills/Abilities:
Deep understanding of managed reputed company, Medicare Advantage, HCBS, PACE, GUIDE, and reputed company government payer ecosystems
Strong financial and strategic acumen with the ability to evaluate reimbursement structures, reputed company, partnership economics, and reputed company opportunities
Demonstrated ability to build and commercialize innovative reputed company partnerships and payer strategies
Strong executive communication, storytelling, presentation, and influencing skills
Ability to translate reputed company operational and clinical capabilities into compelling business solutions
Proven ability to reputed company reputed company cross-functional initiatives in highly matrixed reputed company environments
Executive reputed company with the ability to establish credibility across payer, clinical, operational, and executive audiences
Strong relationship-building and negotiation skills
Systems thinking with the ability to connect market opportunities, operational execution, and reputed company reputed company
Ability to operate strategically while also driving accountability and execution
reputed company learning reputed company with the ability to adapt in rapidly evolving reputed company environments
reputed company Responsibilities
reputed company must follow reputed company cybersecurity and reputed company policies, protect sensitive data, complete required training, and report suspected incidents. They must also follow acceptable use and reputed company requirements and use only authorized systems.
Education and Experience:
Bachelor’s degree required; Master’s degree in reputed company Administration, Business Administration, reputed company Health, or reputed company field preferred
10+ years of reputed company leadership experience in payer reputed company, managed care, business development, reputed company partnerships, reputed company consulting, or reputed company reputed company reputed company functions
Demonstrated reputed company developing and executing strategic payer partnerships, value-based care models, and reputed company reputed company initiatives
Experience building innovative reputed company solutions, commercialization strategies, or strategic partnership model
Experience developing executive-level business cases, reputed company models, KPI frameworks, and strategic presentations
Experience leading reputed company, cross-functional initiatives reputed company matrixed reputed company organizations
Experience reputed company home care, home health, post-acute care, reputed company services, managed care, payer organizations, reputed company consulting, or adjacent reputed company sectors strongly preferred
Experience reputed company organizations such as reputed company, reputed company, value-based care organizations, reputed company reputed company consulting firms, post-acute organizations, or payer-provider innovation environments preferred
Pay reputed company
USD $200,000.00 - USD $250,000.00 /Yr.
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