Fresno Summit Advisors

VP of Provider Network (Wisconsin)

Milwaukee, WI · Vp

Sponsorship not specified$150k-$190kDetected 114 days ago

NegotiationRecruitingLeadershipCommunicationActuarial Science

About the role

This is a hands-on leadership role where you will set strategy, but also execute directly on provider contracting, negotiations, and network expansion.
This includes working closely with actuarial and analytics teams to evaluate pricing, redesign contract models, and identify opportunities for growth.
The ideal candidate brings deep experience in provider contracting and network development, strong relationships across the Wisconsin healthcare market, and a bias toward action.

Drives measurable contracting results by using data, market insight, and strong execution to secure favorable terms, lower costs, and maintain network access.
You will own how we structure provider agreements, improve unit economics, and expand access across the state.
Oversee network development staff in the development of provider networks in Wisconsin and partner with actuarial and provider relations teams to evaluate pricing, assess performance, and inform contracting strategy.
Partner with Provider Operations to resolve high-priority provider issues and improve network performance.
Drive initiatives that improve unit economics, affordability, and network efficiency.
In cases where full contracting isn't feasible, prioritize and deliver alternative solutions (e.g.,PayMedix) to maintain access and support network goals.
The position requires regular communication with colleagues and stakeholders through phone, video, and written channels, as well as the ability to perform work using a computer.
Fresno Summit Advisors https://fresnosummit.com is partnering with this company to support hiring for this role.
We act as an embedded extension of the Talent team, helping manage recruiting and talent operations while ensuring a strong candidate experience.

10+ years of management level experience in provider network development.
Additional hours may occasionally be required to support key projects or business needs.

medical, dental, vision, HSA with company contribution, 401k/Roth with company match,15 days of PTO, and more.
We consider applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic under applicable law.
About Health Payment Systems, Inc. (HPS/PayMedix)
Health Payment Systems, Inc. (HPS/PayMedix) is redefining how people access and pay for healthcare.
We bring together provider networks, payments and financing, and industry partners to remove financial barriers and simplify the healthcare experience for everyone involved.
Build and maintain strong relationships with hospitals, health systems, and independent providers.
Proven track record of established relationships within the Wisconsin provider market (health systems, hospitals, independent providers).

the flow of money and information between providers and consumers.
The work we do improves access, reduces financial stress, and is reshaping how healthcare works at its most fundamental level.
Our solutions include:
a flexible healthcare benefit solution that gives eligible individuals a simple, predictable way to pay for care over time, with zero interest or fees.
Join us in our mission to make the healthcare payments experience simpler, more transparent, and more connected - so people can focus on getting care when they need it, not when they think they can afford it.

We are an equal opportunity employer and are committed to fostering an inclusive workplace where all employees can thrive. We consider applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Reasonable accommodations will be provided to qualified individuals with disabilities throughout the hiring process and during employment.
This role is primarily performed in a professional office environment and typically involves working at a desk using a computer, phone, and other standard office equipment. The position requires regular communication with colleagues and stakeholders through phone, video, and written channels, as well as the ability to perform work using a computer. The role may also involve occasional movement around the office. Additional hours may occasionally be required to support key projects or business needs.
Equal Opportunity & Workplace Environment:
equal opportunity employer and are committed to fostering an inclusive workplace where all employees can thrive.

This listing is sourced directly from Fresno Summit Advisors's careers page and normalized into a canonical job model.