Vice President of Payor Strategy
33 minutes ago
Job Description
INTEGRIS Health Corporate Office, Oklahoma's largest not-for-profit health system has a great opportunity for a VP of Payor Strategy in Oklahoma City, OK. In this position, you'll be a part of our Payor Strategy team providing exceptional work supporting the INTEGRIS Health caregivers and the community at large. If our mission of partnering with people to live healthier lives speaks to you, apply today and learn more about our recently enhanced benefits package for all eligible caregivers such as, front loaded PTO, 100% INTEGRIS Health paid short term disability, increased retirement match, and paid family leave. We invite you to join us as we strive to be The Most Trusted Partner for Health.
The Vice President of Payor Strategy provides executive leadership and direction for the health system's payor relations, managed care contracting, and reimbursement strategies. This role is responsible for developing and executing payor strategies that advance the organization's mission, strengthen financial performance, and support the transition to value-based care.
The VP partners closely with system leadership—including finance, operations, physician enterprise, population health service organization, and legal—to ensure payor agreements and pricing strategies drive sustainable growth, equitable reimbursement, and strong payor partnerships.
Responsibilities
Strategic Leadership
- Develop and lead the hospital system's payor strategy, ensuring alignment with enterprise goals for growth, quality, and financial stability.
- Identify market and policy trends affecting payor-provider relationships and advise the executive team on strategic implications.
- Build and maintain a culture of collaboration and accountability within the revenue cycle and payor contracting teams.
Payor Contracting and Negotiation
- Oversee negotiation, execution, and management of all payor contracts—including commercial, Medicare Advantage, Medicaid Managed Care, and employer direct contracts.
- Drive innovation in contract structure, including bundled payments, shared savings, and other value-based reimbursement models.
- Partner with legal and compliance teams to ensure contract terms meet regulatory and organizational requirements.
- Develop escalation and resolution processes for payor disputes and denials in collaboration with revenue cycle leadership.
Financial and Performance Management
- Partner with Finance to develop budget, payor performance dashboards, monitor contract performance, and forecast reimbursement trends.
- Analyze payor mix, contract yield, and payment integrity to identify revenue optimization opportunities.
- Support strategic pricing initiatives and ensure payor rates align with organizational cost structure and service line strategy.
Value-Based Care & Population Health
- Collaborate with the Population Health Services Organization and Clinical Operations teams to align payor contracts with care management and quality improvement initiatives.
- Develop and oversee value-based arrangements that reward quality, efficiency, and outcomes across the continuum of care.
- Monitor contract performance and risk-based metrics to ensure positive financial and clinical results.
Stakeholder & Relationship Management
- Serve as the primary executive liaison to payor partners, cultivating relationships that drive long-term collaboration.
- Represent the health system in payor forums, policy discussions, and industry coalitions to advocate for equitable reimbursement and care delivery reform.
- Provide strategic counsel to hospital and physician leaders on payor trends and their operational impact.
- Regularly presents to Executive Leadership Team
Qualifications
REQUIRED QUALIFICATIONS
EXPERIENCE:
- Minimum 10 years of progressively responsible experience in healthcare payor contracting, reimbursement, or strategy—preferably within a multi-hospital system.
- Proven record of success leading complex payor negotiations and implementing value-based contracts.
- Demonstrated understanding of healthcare finance, hospital operations, and regulatory reimbursement frameworks (Medicare, Medicaid, and commercial payors).
- Deep understanding of managed care principles, payor-provider dynamics, and hospital reimbursement methodologies (DRG, APC, per diem, capitation, etc.). Strong financial and analytical acumen, with the ability to interpret data and translate insights into strategic action.
EDUCATION:
- Master's degree in Health Administration, Business Administration, Finance, or related field required.
SKILLS:
- Exceptional negotiation, relationship-building, and executive communication skills. Must communicate and interact effectively at the C-suite level.
- Ability to lead cross-functional teams and drive organizational alignment around payor strategy.
This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information. Normal office environment. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
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