Vytalize Health · 1 month ago
Director of Payer Contracting
New York 
Full-time
Hybrid
Lead/Staff, Director/Executive
5+ years expVytalize Health is seeking a Director of Payer Contracting to lead their payer contract strategy, focusing on negotiation, analysis, and performance oversight. The successful candidate will collaborate across various departments to enhance payer performance and ensure operational success.
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Responsibilities
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
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
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
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
Qualification
Required
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
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
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
Preferred
BA, BS in Business, Finance preferred
Deep understanding of the New York payer market highly preferred
Master's degree preferred
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
Company
Vytalize Health
Vytalize Health provides ACO solutions to help doctors accelerate the transition to value-based care.
201-500 employees
Funding
Current Stage
Growth StageTotal Funding
$175.5MKey Investors
Enhanced Healthcare PartnersKittyHawkHudson River Capital Partners
2023-02-22Series C· $100M
2022-04-11Series B· $47M
2022-04-11Debt Financing· $6M
Leadership Team
Faris Ghawi
Co-founder, Chief Executive Officer
Omar Elrabie
Co-Founder
Recent News
GlobeNewswire News Room
2025-03-17
Company data provided by crunchbase