VP, Provider Reimbursement and Contracting

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a VP, Provider Reimbursement and Contracting in the United States.

This is a senior strategic leadership role responsible for designing and evolving next-generation provider network and reimbursement models within a complex healthcare ecosystem. You will lead the creation of innovative contracting frameworks that integrate medical and pharmacy networks, value-based care, and high-performing provider partnerships. The role has a direct impact on improving healthcare affordability, outcomes, and member experience through smarter network design and payment innovation. You will collaborate closely with executive leadership, product, analytics, and technology teams to shape scalable solutions that redefine how provider relationships are structured and managed. Operating in a fast-paced, high-growth environment, you will build foundational tools, processes, and strategies for provider contracting at national scale. This position is ideal for a visionary leader passionate about transforming healthcare delivery and payment systems.

This position is posted by Jobgether on behalf of a partner company. We are currently looking for a VP, Provider Reimbursement and Contracting in the United States.

This is a senior strategic leadership role responsible for designing and evolving next-generation provider network and reimbursement models within a complex healthcare ecosystem. You will lead the creation of innovative contracting frameworks that integrate medical and pharmacy networks, value-based care, and high-performing provider partnerships. The role has a direct impact on improving healthcare affordability, outcomes, and member experience through smarter network design and payment innovation. You will collaborate closely with executive leadership, product, analytics, and technology teams to shape scalable solutions that redefine how provider relationships are structured and managed. Operating in a fast-paced, high-growth environment, you will build foundational tools, processes, and strategies for provider contracting at national scale. This position is ideal for a visionary leader passionate about transforming healthcare delivery and payment systems.

We use an AI-powered matching process to ensure your application is reviewed quickly, objectively, and fairly against the role's core requirements. Our system identifies the top-fitting candidates, and this shortlist is then shared directly with the hiring company. The final decision and next steps (interviews, assessments) are managed by their internal team.

We appreciate your interest and wish you the best!

 Why Apply Through Jobgether? 

 

Data Privacy Notice: By submitting your application, you acknowledge that Jobgether will process your personal data to evaluate your candidacy and share relevant information with the hiring employer. This processing is based on legitimate interest and pre-contractual measures under applicable data protection laws (including GDPR). You may exercise your rights (access, rectification, erasure, objection) at any time.

 

 

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• Design and lead end-to-end provider network strategies, including national, specialty, and tailored ASO network solutions.
• Develop innovative reimbursement models that balance provider experience, cost efficiency, and performance incentives.
• Build benchmarking frameworks, analytical tools, and processes to evaluate network value, pricing, and contracting performance.
• Lead the design and implementation of value-based care models and provider performance frameworks to improve outcomes and reduce total cost of care.
• Establish high-performing provider partnerships, including direct contracting with strategic networks such as specialty care and primary care models.
• Oversee the development of customized, geography-specific micro-network solutions aligned with employer and client needs.
• Collaborate with product, IT, and analytics teams to embed network and reimbursement strategies into scalable platform offerings.
• Lead provider contracting teams, ensuring execution excellence, compliance, and alignment with organizational strategy.
• Drive negotiation strategies and manage complex provider agreements across diverse markets.
• Foster a culture of innovation, operational excellence, and continuous improvement across contracting and network functions.

Requirements:

• 20+ years of experience in provider network design, reimbursement strategy, or value-based care within payer or provider environments.
• Proven success in developing ASO network solutions and high-performing provider partnerships.
• Strong expertise in payment innovation, provider contracting, and healthcare cost optimization strategies.
• Experience leading large-scale negotiations and managing complex provider relationships.
• Demonstrated leadership experience building and managing high-performing teams in fast-paced environments.
• Strong analytical mindset with the ability to develop benchmarking tools and evaluate network performance.
• Experience working across cross-functional teams including product, analytics, and technology.
• Excellent executive communication, stakeholder management, and negotiation skills.
• MBA or advanced degree preferred.
• Experience in high-growth or transformation-focused healthcare organizations strongly preferred.

Benefits:

• Competitive executive compensation package ($250,000 – $310,000 USD base salary range).
• Performance-based incentives aligned with leadership impact and organizational success.
• Comprehensive healthcare coverage including medical, dental, and vision plans.
• Flexible work arrangements supporting work-life balance.
• Retirement savings plans and financial wellness benefits.
• Paid time off, holidays, and parental leave programs.
• Opportunity to lead high-impact transformation in healthcare payment and delivery systems.
• Executive-level exposure and collaboration across product, analytics, and technology leadership teams.