VP, Payer Strategy and Contracting

Scan.com

VP, Payer Strategy guiding healthcare contracts for Scan.com. Drive partnerships, financial modeling, and relationship management in the US healthcare sector.

Posted 4/28/2026full-timeRemote • 🇺🇸 United StatesLead💰 $350,000 - $400,000 per yearWebsite

About the role

Key responsibilities & impact

The VP, Payer Strategy & Contracting, is the founding payer hire for Scan.com's US business. You will report to the CEO, Charlie Bullock.
Convert the large active pipeline of health plan, TPA, and cost-containment conversations to signed contracts, taking hand-off from the CEO and driving each deal to close
Open new payer conversations beyond the CEO-sourced pipeline, building further opportunities through outbound, conferences, and your own network
Build bespoke analysis for every live deal, including claims data review, site-of-care savings models, network maps, state-level performance data, and unit economics
Design rate architecture and SLA structures that are defensible against payer counters and protect Scan.com's contribution margin across fee-for-service, bundled, and case-rate constructs
Own deal execution end-to-end, including term sheet drafting, legal coordination, redlines, and contracting through to countersigned paper
Build and manage the ongoing relationship with each contracted payer post-signature, including quarterly performance reviews, issue escalation, and volume growth
Build the reusable payer contracting playbook, documenting rate models, contract templates, SLA standards, and performance benchmarks that scale across states and payer types
Use modern AI tools as a core part of how you work, compressing analysis, drafting, modelling, and deal-cycle time well above industry baseline
Translate live payer feedback into product, operational, and network priorities, feeding back into state expansion, provider roster, and radiology build decisions
Represent Scan.com at payer-facing forums, including regional health plan conferences, contracting roundtables, and counterpart network events
Build and lead a team beneath you covering sales and contracting as the function scales beyond a single seat

Requirements

What you’ll need

Direct operating experience inside a US health plan, payer, TPA, or network services organisation, with exposure to the full contracting lifecycle from term sheet to go-live
Deep fluency with payer economics, including HOPD vs freestanding pricing, reference-based pricing, fee-for-service and bundled structures, SLA design, and network adequacy requirements
Strong financial analysis and modelling skills, including comfort interrogating claims data, building unit economics, and defending rate positions against counter-proposals
A track record of closing complex healthcare contracts, either in-house at a payer or as a counterpart at a provider, vendor, or managed services organisation
Highly accomplished in the use of modern AI tools to accelerate your own work, with concrete examples of how you have applied them to compress analysis, drafting, or operational throughput. We will test directly for this in the interview process
Clear, structured written communication; the ability to produce contract memos, internal briefings, and payer-facing documents that do not require layers of rework
Strong commercial instinct, with the judgement to know when to hold a position and when to concede, and the confidence to hold the room with a payer contracting counterpart
A closer's temperament; you drive deals to signature rather than let them drift, and you close loops rather than hand work off
Comfort operating at pace inside a scaleup, with limited support infrastructure and high-context decision-making across multiple geographies and payer types

Benefits

Comp & perks

On-target earnings of $350,000 - $400,000
A generous equity portion
401k
Healthcare, Vision and Dental
All the equipment needed for you to do your role effectively
Flexible working
Remote or hybrid working options
Personal Development budgets
18 days PTO plus public holidays
10 paid sick days
Inclusive policies designed by our team, for our team

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

contracting lifecyclefinancial analysismodeling skillsclaims data interrogationunit economicsrate architecture designSLA designpurchasing strategiesfee-for-service structuresbundled payment models

Soft Skills

structured written communicationcommercial instinctdeal closingrelationship managementteam leadershipjudgmentconfidenceproblem-solvingnegotiationadaptability