Senior Vice President, Payer Strategy

Job not on LinkedIn

🕒 March 13

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Visante

51 - 200 employees

Founded 2008

💰 $916.8k Venture Round on 2021-07

Visante is a specialized consulting firm focused on helping health systems accelerate strong financial and operational performance through pharmacy. Our team of professionals brings deep, contemporary expertise and innovation to optimizing all aspects of a fully integrated health system pharmacy program, driving significant value quickly. By providing customized solutions to fit the needs of our clients, we deliver sustained financial results through revenue growth, cost savings, assured compliance and optimal business performance.

📋 Description

• 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.

🎯 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 • Advanced payer contracting or managed care certifications a plus • 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

🏖️ Benefits

• Competitive salary and benefits for this full-time salaried role

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