Vp, Provider Reimbursement And Contracting (Fintech)

TL;DR

Vp, Provider Reimbursement And Contracting (Fintech): Architecting and advancing network solutions that integrate network design, payment innovation and high-performing provider partnerships in a unified medical-pharmacy ecosystem with an accent on development of differentiated network constructs, tailored ASO network solutions and high performing provider contracts with value‑based innovations. Focus on improving outcomes, optimizing the total cost of care and enhancing employer and member value.

Location: Denver, Colorado, New York, New York, United States; Remote within the United States

Salary: $250,000 - $310,000 USD

Company

hirify.global is an enterprise health technology company providing a comprehensive suite of solutions for employers and health plans.

What you will do

• Work to contract with a range of network options to create client optionality.
• Create a foundation of tools and repeatable processes that can be employed to evaluate and value network and contracting proposals.
• Develop reimbursement methods that minimize provider abrasion and hassle while cultivating the right behaviors.
• Lead the development of value‑based payment models, performance frameworks, and incentive structures that improve outcomes, reduce total medical cost, and strengthen provider accountability.
• Build customized network solutions aligned to employer benefit design, cost‑of‑care goals, and market needs, ensuring differentiated value for self‑funded clients.
• Lead and mentor teams responsible for provider contracting, VBC program development, and network performance management.

Requirements

• MBA or related graduate degree preferred.
• 20+ years of experience in provider network design, VBC, and payment innovation within payer or provider organizations.
• Proven success developing ASO network solutions and partnering with high‑performing providers to reduce medical costs.
• Strong leadership, negotiation, and stakeholder engagement skills.
• Experience in fast‑paced, high‑growth or startup environments.

Culture & Benefits

• hirify.global values a diverse workplace and celebrates the diversity that each employee brings to the table.
• Proud to provide equal employment opportunities to all employees and applicants for employment and prohibit discrimination and harassment of any type.