VP, Payer Strategy and Contracting

Role Overview

• 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

• 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

• 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