SVP, Payor Strategy

Axia Women's Health

. Develop and execute a multi-year payor strategy across commercial, Medicare Advantage, and Medicaid managed care plans .

Posted 9/30/2026full-timeRemote • United StatesLead💰 $240,000 - $330,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates extensive expertise in payor contracting and reimbursement strategies, with a strong focus on commercial, Medicare Advantage, and Medicaid managed care. Proven ability to lead complex negotiations, manage teams, and analyze financial impacts within a multi-site physician group or MSO environment.

Highest-signal resume keywords

Payor Contracting ExperienceManaged Care StrategyFinancial Modeling SkillsLeadership in NegotiationsExpertise in Value-Based Care

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Payor ContractingReimbursement StrategyFinancial ModelingNegotiation of Fee-for-Service AgreementsValue-Based Care ArrangementsContract Compliance MonitoringMarket Dynamics AssessmentContract Strategy DevelopmentAnalytical SkillsMulti-Payor Negotiations

Soft Skills

Executive PresenceRelationship BuildingTeam LeadershipIndependent WorkCommunication Skills

Certifications & Qualifications

Bachelor's DegreeMBAMHAMPHJD

Industry Keywords

Managed CareMSOAmbulatory ProviderRevenue CycleHealthcare ContractingPrivate EquityPhysician Practice ManagementM&A DiligenceWomen's HealthHealth Plan Relationships

About the role

Key responsibilities & impact

Develop and execute a multi-year payor strategy across commercial, Medicare Advantage, and Medicaid managed care plans
Lead contracting on behalf of affiliated professional corporations within the MSO model
Assess market dynamics, payor behavior, and competitive positioning to set contracting priorities
Lead negotiations, renewals, and amendments of fee-for-service agreements
Improve rates, strengthen contract terms, and reduce administrative burden
Build contract strategies for professional, imaging, and laboratory fee schedules
Address prior authorization, site-of-service, and ancillary billing terms
Manage escalations, disputes, and termination strategy
Monitor contract compliance, identify underpayments, and reduce reimbursement leakage with Revenue Cycle and Finance
Design, negotiate, and expand value-based care arrangements and alternative payment models
Model financial and operational impact of proposed arrangements and recommend structures
Track quality, utilization, and cost benchmarks and capture earned incentives
Structure payor arrangements for new markets and service lines
Build relationships with health plan leadership in current and expansion markets
Lead payor diligence for prospective practice acquisitions and affiliations
Review contracts, rate benchmarks, assignment and change-of-control provisions, and reimbursement risks
Guide payor onboarding of newly affiliated practices
Provide reimbursement assumptions and synergy estimates for deal modeling and integration planning
Maintain payor performance scorecards covering rates, contract profitability, VBC performance, and denial trends
Present findings and recommendations to the Chief Growth Officer, executive leadership, physician leadership, and the Board
Monitor federal and state reimbursement policy, CMS rulemaking, and payor policy changes
Advise on business implications
Manage a small team supporting contracting and payor analytics
Report to the Chief Growth Officer and serve as a strategic advisor to executive leadership, Finance, Revenue Cycle, Operations, and physician leaders

Requirements

What you’ll need

Bachelor's degree required
12+ years of payor contracting, managed care, or reimbursement strategy experience, with significant provider-side experience
Experience contracting for a multi-site physician group, MSO, practice management organization, or ambulatory provider platform
Proven record of leading complex, multi-payor negotiations at the executive level
Expert command of commercial, Medicare Advantage, and Medicaid managed care contracting and reimbursement methodologies
Proven leadership ability, including building, developing, and holding accountable a lean, high-performing team
Demonstrated success negotiating FFS rate improvements and VBC arrangements for provider organizations
Strong financial modeling and analytical skills
Thorough understanding of MSO and PC structures, including payor contracting within them
Working knowledge of revenue cycle, credentialing, and physician practice operations as they relate to reimbursement performance
Executive presence and strong relationship skills with health plan leadership, physicians, and deal teams
Ability to work independently and deliver results in a fast-growing, private equity-backed environment
Experience in an MSO or private equity-backed physician practice management environment strongly preferred
Experience supporting M&A diligence and post-close integration of physician practices preferred
Payor contracting experience and established health plan relationships in New Jersey, Pennsylvania, Indiana, and/or Kentucky preferred
Experience in women's health or related specialties preferred
Payor-side experience in network management or provider contracting preferred
MBA, MHA, MPH, JD, or related advanced degree preferred
Applicants must be currently authorized to work in the United States on a full-time basis
Must complete employment eligibility verification upon hire

Benefits

Comp & perks

401(k) with company match
Generous PTO offering with additional time off for volunteering
Multiple medical insurance plans
Access to Axia providers at little to no cost through Axia’s medical insurance
Axia-paid life insurance
Short-term and long-term disability insurance
Free counseling for colleagues and family members, including parents and parents-in-law
Discounts on hotels, theme parks, gym memberships, and more through the Great Works Perks Program
Dental insurance
Vision insurance
Supplemental life insurance
FSA
HSA with employer contribution
Identity theft insurance
Long-term care insurance
Pet insurance