Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies, and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Committed to providing coordinated, compassionate, and clinically excellent services High-quality, evidence-based care supported by significant investments in research, education, quality-improvement, and safety initiatives
AVP, Payer Solutions
Location
United States
Posted
57 days ago
Salary
0
Seniority
Mid Level
No structured requirement data.
Job Description
AVP, Payer Solutions
Pediatrix
Overview Ready to lead high‑impact payer partnerships and fuel strategic market growth? Step into the role of Associate Vice President, Payer Solutions, where you’ll shape enterprise strategy, elevate payer relationships, and drive value‑aligned partnerships that strengthen access, sustainability, and long‑term success. Pediatrix Medical Group is a national organization, and one of the nation’s largest providers of prenatal, neonatal and pediatric services. Talented business professionals from diverse backgrounds choose Pediatrix because we are an exciting and innovative company that focuses on a team approach to improve the lives of patients everywhere. We are confident that you'll love being a part of the Pediatrix team. Responsibilities The Associate Vice President (AVP), Payer Solutions — Partnerships & Market Development is responsible for leading enterprise strategy and execution related to payer relationship advancement, market positioning, and partnership expansion. This role provides executive-level leadership in shaping payer engagement approaches that strengthen access, financial sustainability, and strategic growth. The AVP serves as a senior external-facing leader representing the organization in complex payer interactions while aligning internal stakeholders across contracting, operations, finance, analytics, clinical leadership, and value-based initiatives. This position drives identification, prioritization, and execution of market opportunities and supports the organization’s transition toward integrated, value-aligned partnership models. This role reflects the evolving complexity of payer engagement and requires strategic judgment, executive presence, and the ability to influence outcomes across diverse internal and external environments. Partnership Strategy & Market Development - Lead development and execution of payer partnership strategies aligned with enterprise growth objectives - Identify and prioritize strategic payer relationships across national, regional, and local markets - Evaluate market opportunities to expand network presence, service line access, and partnership scope - Represent the organization in executive-level payer discussions - Drive relationship alignment supporting long-term collaboration and innovation - Assess competitive market dynamics to inform engagement strategy Strategic Payer Engagement - Provide senior leadership support in complex negotiations and relationship positioning - Guide prioritization and coordination of payer engagement activities across regions - Ensure payer relationships align with enterprise strategic and operational objectives - Support resolution of escalated partnership or contract issues impacting market access or revenue performance - Serve as strategic advisor to leadership on payer positioning risks and opportunities Integration Across Enterprise Initiatives - Align payer partnership activities with value-based care initiatives - Coordinate engagement strategies supporting employer market development - Collaborate with CIN and clinical leadership to advance quality-aligned partnerships - Support integration of acquisitions through strategic payer alignment - Partner with business development to evaluate partnership implications of expansion initiatives Cross-Functional Leadership - Coordinate collaboration between Managed Care, Operations, Legal, Finance, Analytics, and Provider Enrollment - Ensure payer strategy alignment across functional and regional teams - Remove barriers to execution and facilitate organizational coordination - Provide leadership guidance to regional payer relations staff Market Intelligence & Strategy Development - Evaluate national and regional managed care trends - Identify emerging reimbursement and partnership models - Translate insights into strategic action plans - Prepare executive-level updates on partnership positioning and progress Organizational Leadership - Provide mentorship and leadership development within the Payer Solutions organization - Contribute to enterprise planning initiatives - Support change management tied to strategic transformation - Foster collaboration, accountability, and innovation Qualifications Education/Experience: - Bachelor’s Degree required. Master’s Degree (MBA, MHA, MPH or related field) preferred - 12–15+ years healthcare leadership experience required - Experience in payer-provider partnership environments - Demonstrated experience influencing complex negotiations or relationship outcomes - Strong executive communication and stakeholder engagement skills - Strategic thinking and market awareness - Multi-market or national experience preferred - Experience supporting value-based initiatives preferred - Experience working across employer, CIN, or integrated delivery environments preferred Knowledge / Skills: - Ability to demonstrate executive presence and influence across diverse stakeholder groups - Ability to build, strengthen, and expand strategic relationships - Ability to navigate complex negotiations with sound positioning and strategic judgment - Ability to analyze markets, identify trends, and translate insights into opportunity - Ability to apply strong financial and operational awareness to strategic decision‑making - Ability to lead organizations, inspire collaboration, and align cross‑functional teams - Ability to communicate clearly and persuasively—both in writing and verbally - Ability to distill complex information into clear, actionable insights - Ability to travel nationally as required to support payer engagement and market development activities Benefits and Compensation Take great care of the patient, every day and every way.TM At Pediatrix & Obstetrix, that’s not only our motto at work each day; it’s also how we view our employees and their families. We know that our greatest asset is YOU. We take pride in offering comprehensive benefits in a vast array of plans that fit your life and lifestyle, supporting your health and overall well-being. Benefits offered include, but are not limited to: Medical, Dental, Vision, Life, Disability, Healthcare FSA, Dependent Care FSA and HSAs, as well as a 401k plan and Employee Stock Purchase Program. Some benefits are provided at no cost, while others require a cost share between employees and the company. Employees may also select voluntary plans and pay for these benefits through convenient payroll deductions. Our benefit programs are just one of the many ways Pediatrix & Obstetrix helps our employees take care of themselves and their families. About Us Pediatrix Medical Group is one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix has grown from a single neonatology practice to a national, multispecialty medical group. Pediatrix-affiliated clinicians are committed to providing coordinated, compassionate and clinically excellent services to women, babies and children across the continuum of care, both in hospital settings and office-based practices. The group’s high-quality, evidence-based care is bolstered by significant investments in research, education, quality-improvement and safety initiatives. Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers. #LI-Remote Pediatrix is an Equal Opportunity Employer All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.
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