VP, Payer Strategy & Contracting

Responsibilities:

• Convert a large active pipeline of health plan, TPA, and cost-containment conversations to signed contracts, taking hand-off from the CEO and driving each deal to close.
• Open new payer conversations beyond the CEO-sourced pipeline, building further opportunities through outbound efforts, conferences, and your network.
• Own deal execution end-to-end, including term sheet drafting, legal coordination, redlines, and contracting through to countersigned paper.

First Year Objectives:

• Achieve three to four signed payer partnerships, covering at least one health plan, one TPA, and one cost-containment vendor, with material contracted imaging volume.
• Document a reusable payer contracting playbook end-to-end, including rate architecture, SLA standards, contract templates, and performance benchmarks.
• Demonstrate expansion of the payer pipeline beyond CEO-sourced opportunities, evidencing a personal commercial engine and a credible top-of-funnel motion.

Qualifications:

• Direct operating experience inside a US health plan, payer, TPA, or network services organisation, with exposure to the full contracting lifecycle.
• Deep fluency with payer economics, including HOPD vs freestanding pricing, reference-based pricing, fee-for-service and bundled structures.
• Strong financial analysis and modelling skills, including comfort interrogating claims data, building unit economics, and defending rate positions.