PM Pediatrics Management Group

Vice President & Head of Payer Strategy

Lake Success, NY, US$220,000-$275,000Posted 3 days ago

Job Description

It's fun to work in a company where people truly BELIEVE in what they're doing!

*We're committed to bringing passion and customer focus to the business.*

Summary

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This is a remote position, but must reside in the Northeast

Prior experience in a hospital system or urgent care environment is strongly preferred

PM Pediatric Care is scaling a behavioral health platform to address the mental health crisis facing children and adolescents. We operate state-based clinical pods across New York, New Jersey, and Florida, with national expansion underway. Over the next 24 months, we are growing from 75K to 150K+ annual visits and $15M to $50M+ in revenue.

The VP & Head of Payer Strategy is the enterprise payer strategist and chief negotiator for PM Pediatric Care's Urgent Care and Behavioral Health service lines. This role owns national payer relationships, contract strategy, rate negotiations, multi-state expansion, and value-based partnership development. You will serve as the executive voice to Tier 1 payers, BCBS plans, Medicaid programs, and value-based care organizations.

You will operate at the intersection of clinical strategy, financial performance, and market access, translating clinical quality and patient outcomes into payer value propositions, negotiating contracts that balance network inclusion with financial sustainability, and building partnerships that position PM Pediatrics for long-term advantage.

Reports to: Chief Commercial Officer. Partners closely with: SVP Operations (Urgent Care and Behavioral Health), VP Clinical Programs, Finance/FP&A, and Revenue Cycle Management.

This is a high-visibility executive role with direct exposure to the CEO, Board of Directors, and national payer C-suites.Description ---------------

Responsibilities

National Payer Strategy & Tier 1 Relationship Leadership (Urgent

Care) —40%

* Own strategic rel

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