VP - Payer Relations
- Category
- Executives
- Job Type
- Full time
- Job ID
- R-21427
If you are looking to make an impact on a meaningful scale, come join us as we embrace the Power of One!
We strive to be an employer of choice and establish a reputation for being a talent rich organization where Associates can grow their career caring for others. For over a century, we’ve served the health care needs of the people of Memphis and the Mid-South.
Working at MLH means carrying the mission forward of caring for our community and impacting the lives of patients in every way through compassion, a deliberate focus on service expectations and a consistent thriving for excellence.
A Brief Overview
The VP of Payer Relations is a strategic leadership role responsible for shaping and executing a payer strategy that advances our mission across Methodist LeBonheur Healthcare (MLH). The VP of Payer Relations will lead all aspects of payer engagement including contracting, reimbursement strategy, and value-based care innovation to support clinical excellence, financial sustainability, and equitable access to care. This role requires an experienced and visionary leader with a deep understanding of healthcare quality methodologies, regulatory requirements, and the complexities of a large, integrated health system. The VP of Payer Relations will be a trusted partner both internally and externally and lead high-impact negotiations, drive strategic alignment across departments and ensure the delivery of fair, mission-aligned agreements with government and commercial payers. Models appropriate behavior as exemplified in MLH Mission, Vision and Values.
What you will do
- Strategic Leadership • Lead the development of a system-wide payer strategy that supports Methodist Le Bonheur Healthcare’s clinical, academic, and community health priorities. • Serve as the senior executive liaison to health plans, CMS, Medicaid, and third-party administrators, promoting transparent, collaborative, and values-driven partnerships. • Provide thought leadership on reimbursement trends and market dynamics to inform executive decision-making and long-term financial planning.
- Contracting & Reimbursement • Oversee the negotiation of all payer agreements, including traditional fee-for-service and innovative value-based arrangements. • Lead multidisciplinary collaboration with Finance, Revenue Cycle, Legal, and Clinical teams to evaluate terms, model contract impact, and support reimbursement optimization. • Ensure contracts are compliant with regulatory standards and align with the system’s quality and operational goals.
- Value-Based Care & Population Health • Expand participation in risk-sharing models that incentivize improved outcomes, cost containment, and health equity. • Partner closely with population health and care delivery leaders to align clinical operations with payer contract requirements and performance metrics. • Leverage data and analytics to track performance, inform negotiations, and drive continuous improvement.
- Payer Engagement & Advocacy • Build and sustain strategic payer relationships that enable innovation in access, care coordination, and digital health transformation. • Represent Methodist Le Bonheur Healthcare in regional and national payer forums, industry coalitions, and advocacy initiatives. • Serve as a spokesperson for the system’s payer strategy internally and externally.
- Team & Organizational Leadership • Lead and mentor a high-performing team responsible for payer strategy, analytics, and issue resolution. • Drive collaboration across departments to ensure payer contracts are operationalized effectively and support Methodist Le Bonheur’s mission and strategic goals.
Education Qualifications
- Required - Bachelor's Degree Business Administration/Management
- Preferred - Bachelor's Degree Healthcare Administration
- Preferred - Bachelor's Degree Finance
- Preferred - Master's Degree Business Administration/Management
- Preferred - Master's Degree Healthcare Administration
Experience Qualifications
- Required - At least 10 years of progressive leadership experience in managed care, payer contracting, or healthcare strategy—preferably within a health system or integrated delivery network.
- Preferred - Recent leadership experience with a managed care organization.
Skills and Abilities
- Proven track record negotiating complex payer contracts, including shared savings, capitation, and other risk-based arrangements.
- Deep understanding of healthcare reimbursement models, payer-provider relationships, and value-based care frameworks.
- Excellent communication, interpersonal, and negotiation skills, with the ability to influence and collaborate across all levels of the organization.
- Demonstrated ability to translate strategic vision into operational success and measurable outcomes.
- Become primary point of contact for payers.
- Initiate, implement and modify payer strategy in accordance with the clinical program development and the overall strategic plan.
- Renegotiate legacy contracts in accordance with strategic plan along with contracting and financial administration.
- Leverage data and analytics across the organization to advance value-based care.
- Effectively and regularly communicate changes and developments with leadership.
Supervision Provided by this Position
- Manages assigned associates and leaders.
Physical Demands
- The physical activities of this position may include climbing, pushing, standing, hearing, walking, reaching, grasping, kneeling, stooping, and repetitive motion.
- Must have good balance and coordination.
- The physical requirements of this position are light work - exerting up to 25 lbs. of force occasionally and/or up to 10 lbs. of force frequently.
- The Associate is required to have close visual acuity to perform an activity, such as preparing and analyzing data and figures; transcribing; viewing a computer terminal; or extensive reading.
- The conditions to which the Associate will be subject in this position: The Associate is not substantially exposed to adverse environmental conditions; job functions are typically performed under conditions such as those found in general office or administrative work.
- Ability to travel between health system facilities as needed.
- May require occasional evening or weekend work.
Our Associates are passionate about what they do, the service they provide and the patients they serve. We value family, team and a Power of One culture that requires commitment to the highest standards of care and unity.
Boasting one of the South's largest medical centers, Memphis blends a friendly community, a thriving and growing downtown, and a low cost of living. We see each day as a new opportunity to make a difference in the lives of the people in our community.
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