AVP, Payer Solutions

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