Vice President, Payor

Location:
Basking Ridge, NJ preferred; remote locations will be considered;
Hybrid

Status: Exempt

Department:
Commercial/ Payor Relations

Travel: Up to 25%, including clinic markets and payer/vendor meetings

Compensation is commensurate with experience. We are open to considering compensation above the posted range for highly qualified candidates based on relevant experience and expertise

About the Company:

IVI RMA North America is a private equity-backed, multi-site reproductive medicine and fertility care organization operating 60+ clinics across the United States and Canada, serving patients through a network of more than 2,200 team members. Built through an active acquisition strategy, the organization is unifying a family of respected fertility practices under a shared clinical philosophy, brand, and operating model. The organization is led through a physician-operations dyad leadership structure that pairs clinical and operational decision-making at every level, ensuring that growth, integration, and performance initiatives remain grounded in exceptional patient care.

With a multi-year path toward a strategic exit, the organization is investing heavily in the systems, talent, and infrastructure needed to scale sustainably while preserving the compassionate, patient-centered culture that differentiates it in the fertility space.

Job Purpose:

The Vice President, Payer leads the organization's payer contracting, network strategy, and market access agenda across a rapidly growing, multi-state fertility platform. This role owns the full payer relationship lifecycle — from contracting and reimbursement strategy through credentialing oversight and new benefit product market access — and serves as the organization's primary voice with national and regional payers, fertility benefit administrators, and employer-sponsored benefit programs.

The VP, Payer will bring order to a complex, multi-EIN contracting landscape shaped by acquisition history, while positioning the organization to capture growth from expanding state infertility mandates and the rise of employer-purchased fertility benefits.

Essential Functions and Accountabilities:

• Own end-to-end payer contracting strategy across all markets, including rate negotiation, contract language, and renewal cycles.
• Rationalize and harmonize payer contracts and reimbursement terms across legacy entities acquired through M&A, working toward consistent, defensible rate structures.
• Build and maintain a payer contracting playbook, including model contract terms, escalation paths, and a centralized contract repository.
• Lead value-based and alternative payment model exploration where appropriate to the fertility benefit landscape.

Market Access & Payer Relations

• Serve as the primary relationship owner for national payers, regional health plans, and fertility benefit administrators (e.g., Progyny, Carrot, Maven, WIN).
• Lead market access strategy for new and expanding employer-sponsored fertility benefit products, positioning the organization as a preferred provider.
• Track and respond to state infertility mandate developments, ensuring the organization is positioned to capture in-network growth as coverage expands.
• Represent the organization at payer, employer benefits, and industry conferences to build visibility and strategic relationships.

Cross-Functional & Operational Leadership

• Partner with Revenue Cycle, Legal, and Clinical Operations to ensure contract terms translate cleanly into billing, prior authorization, and reimbursement workflows.
• Oversee payer-facing credentialing strategy in partnership with credentialing operations to minimize onboarding delays for new providers and acquired clinics.
• Support integration of newly acquired practices into the organization's payer contracting and benefit administrator relationships.
• Provide regular payer landscape reporting and contracting performance metrics to the CCO and executive leadership.

PE / Board Reporting

• Develop board- and investor-ready materials summarizing payer mix, contracting wins, reimbursement trends, and market access progress.
• Quantify the financial impact of contracting initiatives to support enterprise value creation narratives.

Qualifications

Required

• 8+ years of progressive experience in payer contracting, managed care, or market access, including direct payer negotiation experience.
• Experience operating across multiple states and multiple legal entities/EINs in a multi-site healthcare environment.
• Demonstrated success negotiating and…