Director of Payer Contracting

Your Opportunity The Director of Payer Contracting will lead end-to-end payer contract strategy — from rate development and value-based model design to contract negotiation, analysis, and performance oversight. The ideal candidate brings strong financial acumen, negotiation skills, and the ability to partner cross-functionally with Legal, Finance, Provider Relations, Credentialing, Operations, and Growth. What You Will Do Contracting & Negotiation Lead end-to-end payer contracting for New York and surrounding markets, including fee-for-service, VBC, shared savings, and bundled payment arrangements. Independently drive complex payer contract negotiations, rate discussions, escalations, and settlement conversations. Review, redline, and negotiate contract terms to protect the organization’s best interests while ensuring operational and financial viability. Develop rate proposals, VBC model designs, and performance-based reimbursement structures. Conduct detailed financial and utilization analyses to inform negotiation strategy and evaluate contract impact. Performance, Strategy & Market Insights Prepare and present reporting to leadership on contract status, negotiation updates, financial impact, and strategic market opportunities. Maintain deep, current knowledge of the New York payer and provider landscape, competitive dynamics, and regulatory environment. Participate in Joint Operating Committee (JOC) meetings, value-based care performance reviews, reimbursement escalations, and quality-related discussions. Identify opportunities to enhance payer performance, improve contract terms, and strengthen payer relationships. Cross-Functional Collaboration Partner closely with Legal on contract review, compliance terms, risk language, and redlines. Collaborate with Finance on modeling, profitability assessments, rate impacts, and VBC performance analytics. Work with Provider Relations, Credentialing, Operations, and Growth to ensure contracts are operationalized successfully. Act as a strategic liaison internally to monitor contract performance, address issues, and escalate to payers when needed. General Leadership & Execution Manage multiple priorities concurrently in a fast-paced, dynamic environment. Proactively problem-solve complex, ambiguous contracting issues with sound judgment. Communicate clearly and professionally across internal teams and with external payer partners. Represent the organization confidently in negotiations, payer forums, and leadership presentations What will make you successful here BA, BS in Business, Finance preferred Minimum 5+ years of progressive managed care experience, with a strong emphasis on physician/provider contracting with payers. Demonstrated experience in value-based care contracting, including shared savings models, bundled payments, ACO structures, and risk-based arrangements. Deep understanding of the New York payer market highly preferred. Strong financial analysis capabilities, including the ability to interpret data, model reimbursement impacts, and develop rate proposals. Proven track record of independently leading complex payer contract negotiations. Prior experience presenting contract and financial analyses to senior leadership. Excellent written and verbal communication skills. Bachelor’s degree in business, healthcare administration, finance, public health, or a related field required; Master’s degree preferred. Strong business and financial acumen. Effective communicator with the ability to tailor message to executives, payers, and cross-functional partners. Highly organized, able to manage numerous contracts and timelines concurrently. Strategic thinker capable of identifying opportunities to enhance payer performance and contracting structures. Collaborative, relationship-driven, and able to influence without authority. Comfort working in a fast-growing, evolving environment. Perks/Benefits Competitive base compensation Annual bonus potential Health benefits effective on start date Health & Wellness Program; up to $300 per quarter for your overall well-being available on start date 401K plan effective on the first of the month after your start date; 100% of up to 4% of your annual salary Unlimited (or generous) paid "Vytal Time", and 5 paid sick days after your first 90 days Company paid STD/LTD Technology setup Ability to help build a market leader in value-based healthcare at a rapidly growing organization *Please note at no time during our screening, interview, or selection process do we ask for additional personal information (beyond your resume) or account/financial information. We will also never ask for you to purchase anything; nor will we ever interview you via text message. Any communication received from a Vytalize Health recruiter during your screening, interviewing, or selection process will come from an email ending in @vytalizehealth.com *We fully embrace the power of AI and encourage innovative, responsible use of emerging technologies in our work. However, during the interview and assessment process, it’s essential that we evaluate your individual skills, problem-solving ability, and technical mastery without external assistance. Candidates must complete all interviews and assessments independently. Use of AI tools, platforms, or automated assistance during interviews or assessments is not permitted. Unauthorized use will result in immediate disqualification from the hiring process and withdrawal of employment consideration. Our goal is to ensure a fair and accurate assessment of your true capabilities—the same creativity and critical thinking we value once you join our team.