Experience: 10+ years
- Lead IVX's national payer contracting and network access strategy.
- Negotiate and manage agreements with commercial, Medicare Advantage, Medicaid, and regional health plans.
- Expand payer participation, improve reimbursement economics, and support new market growth.
- Build executive relationships with key payer organizations and position IVX as a preferred site-of-care partner.
- Own enterprise reimbursement strategy and contract performance.
- Identify opportunities to improve reimbursement, prevent underpayments, and strengthen contract compliance.
- Monitor payer policy, medical necessity, and reimbursement trends affecting patient access and revenue.
- Partner with Revenue Cycle, Finance, Operations, and Legal to address reimbursement risks and opportunities.
- Lead payer business reviews and strategic planning discussions.
- Support select employer, TPA, and alternative reimbursement partnerships.
- Identify opportunities to expand payer collaboration and value creation.
- Align payer strategy across Growth, Operations, Clinical, Revenue Cycle, Finance, Legal, and Analytics teams.
- Translate contractual commitments into operational execution.
- Establish KPIs tied to network growth, reimbursement performance, and enterprise objectives.
- 10+ years of healthcare leadership experience in payer relations, managed care contracting, reimbursement strategy, or network development.
- Proven success negotiating payer contracts and expanding network access.
- Experience supporting ambulatory, infusion, specialty, or alternative site-of-care healthcare organizations.
- Deep knowledge of managed care, reimbursement, specialty drug economics, payer operations, and medical policy.
- Strong executive communication, relationship-building, and financial acumen.
- Experience in infusion services, specialty pharmacy, ambulatory care, or provider organizations.
- Established relationships with major national payers including UnitedHealthcare, Cigna, Aetna, Elevance, BCBS plans, and Humana.
IVX Health is a national provider of infusion and injection therapy for individuals managing chronic conditions like Rheumatoid Arthritis, Crohn's Disease, and Multiple Sclerosis. We're transforming the way care is delivered with a focus on patient comfort and convenience. Our commitment to exceptional care extends to our employees as well-we empower our team to thrive while living our core values: Be Kind, Do What's Right, Never Settle, Make It Happen, and Enjoy the Ride.
Our Vision: To be the nation's preferred destination for pharmaceutical care of complex chronic conditions
- Comprehensive Healthcare - Medical, dental, and vision coverage, including prescription drug plans and telemedicine services.
- Flexible Savings Options - Choose from Health Savings Accounts (HSA) and Health Reimbursement Arrangements (HRA) to manage healthcare costs.
- Supplemental Protection - Accident, critical illness, and hospital indemnity plans to provide additional financial security.
- Dependent Care FSA - Pre-tax savings for eligible childcare and dependent care expenses.
- 401(k) Retirement Plan - Secure your future with a competitive company match.
- Disability Coverage - Voluntary short-term and long-term disability plans to protect your income.
- Fertility and Family Support - Resources and benefits designed to support fertility care and family planning.
- Life and AD&D Insurance - Financial protection for you and your loved ones.
- Counseling and Wellness Support - Free resources to support emotional, physical, and financial well-being.
- Education Assistance - Tuition reimbursement and certification support to help you grow in your career.
- Continuing Education - Access to a CEU library for ongoing professional development.
- Charitable Giving and Volunteer Program - Matched donations and paid volunteer time off to support causes you care about.
- Employee Referral Bonus - Earn rewards for helping us find top talent.
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This posting was published by IVX Health on their own careers system and is shown here with a direct link to apply there. Employers: for corrections or removal, contact jobs@veritahire.com.