Vice President, Payer Contracting
- Compensation
- Not disclosed
- Location
- US
- Work setup
- Not specified
- Seniority
- C level
- Employment
- Contract
- Experience
- 15+ years
- Category
- Not specified
- Posted
Skills
Must have
- 10–15+ years of experience in payer contracting, network management, or healthcare business development
- Deep expertise in Medicaid managed care and value-based payment models
- Proven track record of negotiating and managing complex, risk-based contracts
- Strong understanding of healthcare economics, including medical cost drivers, risk adjustment, and quality incentives
- Experience working with or contracting on behalf of Medicaid managed care organizations, MSOs, ACOs, or risk-bearing provider groups
- Experience in multi-state Medicaid environments and familiarity with state-specific regulations
- Experience working cross-functionally to operationalize contracts in provider or payer organizations
- Excellent negotiation, communication, and relationship management skills
Nice to have
- Strong, trusted relationships with key Medicaid health plans
- Background in top-tier consulting firms such as McKinsey & Company, Bain & Company, or Boston Consulting Group, with healthcare focus
- Strong analytical and financial modeling capabilities
- MBA, MHA, or related advanced degree
Full description
Position Title: Vice President, Payer ContractingReports To: Chief Strategy Officer & Interim Growth OfficerAbout the Organization:
Equality Health is an integrated, holistic, and tech-enabled healthcare delivery system focused on improving the health and wellness of diverse populations. Founded in 2015, Equality Health aims to improve access to value-based care for people who have long struggled with navigating the traditional one-size-fits-all U.S. healthcare system. The mission of the company is to provide high-quality care that improves and enhances lives regardless of race, ethnicity, age, or income.
Through its supplemental care management services and proprietary technology platform, CareEmpower™, Equality Health helps managed care plans and health systems improve outcomes and lower costs for diverse populations while simultaneously facilitating the transition to risk-based accountability. Equality Health supports over 800,000 members and more than 4,000 practice sites and continues to scale rapidly.
Business Model
Equality Health operates a dynamic value-based care platform that transforms the current state of healthcare by aligning, engaging, and empowering providers and health plans to focus their work on individuals and communities that need it the most. The company's core value proposition includes:
- Practice Transformation and Performance Support: Equality Health provides tools, high-touch practice and member support, and value-based incentives to primary care providers.
- Proprietary Technology: The platform is backed by actuarial intelligence and timely analytics and supports panel management, effective chart preparation, and connection to additional resources such as social determinants of health, behavioral health, and care management.
- Timely Value-Based Incentives: Providers receive quarterly payments based on activity, supporting preventive care, transitions of care, and high-risk member management.
- Multidisciplinary Care Team: The care model includes digital member engagement, telephonic care navigation, field-based teams, community health workers, chaplains, and nurse practitioners.
Equality Health partners with managed care organizations (MCOs) to support state-led initiatives and holds participation agreements with providers to support their attributed Medicaid members. The company's footprint spans multiple states, including Arizona, Texas, Louisiana, Virginia, and Tennessee, with a large and growing network of affiliated primary care providers.
Ownership Structure
Equality Health is a privately held company backed by private equity investors. Key investors include General Atlantic, Finback Investment Partners, Town Hall Ventures, and Endeavour. The company operates with a focus on population health risk management, improving care delivery outcomes for traditionally underserved populations in value-based care. Equality Health's comprehensive model bundles care coordination technology, practice transformation services, and provider incentives, enabling doctors to deliver effective and value-based primary care.