Head of Payer Network

Head of National Payer Network & Value-Based Care Strategy
Job Description
Job Title: Head of National Payer Network & Value-Based Care Strategy
Position Type: Full Time
Location: Open
Department: Executive Committee
Reports to: Chief Revenue Officer
FLSA: Salary, Exempt
About Vaxcare
Founded in 2008, VaxCare's mission is to remove operational, financial, and administrative barriers that limit vaccine access and adoption. Through its end-to-end care delivery platform, VaxCare enables physician practices, health systems, and other healthcare organizations to offer comprehensive immunization programs without inventory risk, operational burden, or reimbursement complexity. By managing vaccine procurement, inventory, compliance, and billing, VaxCare allows providers to focus on patient care while expanding access to life-saving vaccines.
After more than a decade of disciplined execution and continuous innovation, VaxCare partners with over 5,000 providers and has become one of the Top 10 buyers-and-billers of vaccines in the nation. The company has grown well beyond its original vision and is now entering its next phase of scaled expansion.
Today, VaxCare partners with a broad and growing base of independent practices and health systems nationwide. The company is entering a pivotal phase of growth, with a clear ambition to scale revenue from approximately $730M in 2025 to $2B by 2029, driven by deeper penetration of existing markets, scaled expansion within community and regional health systems, and the introduction of new commercial offerings.
In June 2025, Blackstone acquired VaxCare and is committed to supporting the organization through this next phase of growth. Blackstone is a private equity firm based in New York. The firm seeks to invest in real estate, public debt, private equity, infrastructure, life sciences, growth equity, opportunistic, non-investment grade credit, real assets, and secondary funds. This firm is a Registered Investment Adviser (RIA).
VaxCare remains founder-led under Casey DeLoach. The culture reflects a strong sense of ownership, urgency, and belief in purpose. The organization values humility, learning, adaptability, and a deep sense of care for team members and customers alike. This “VaxCare-ness” reflects a commitment to developing people professionally and personally, operating with intellectual humility, and building something larger than any individual contributor. The pace is fast, expectations are high, and leaders are expected to combine ambition with emotional intelligence and stewardship..
THE POSITION
The role will initially report to Founder and Chief Executive Officer Casey DeLoach—with the expectation that this role will report to the President or Chief Revenue Officer upon their hire as VaxCare's commercial organization scales—the Head of National Payer Network & Value-Based Care Strategy is responsible for leading VaxCare's enterprise payer strategy, national contracting efforts, reimbursement optimization initiatives, and value-based care partnerships. This executive will develop and execute strategies that expand patient access, increase provider participation, improve reimbursement performance, and position VaxCare as the preferred partner for payers seeking to improve vaccination, preventive care, and physician-administered therapy outcomes. This is a remote-based position.
This role serves as VaxCare's senior executive for payer engagement, contracting innovation, network strategy, and value-based program development across Commercial, Medicare Advantage, Medicaid, PBMs, IPAs, CINs, ACOs, and employer-sponsored health plans.
The successful candidate will combine deep managed care expertise, healthcare economics, provider network strategy, and value-based care leadership to accelerate VaxCare's evolution from a vaccine management platform to a national care delivery platform. VaxCare currently supports one of the nation's largest vaccination networks with more than 20 million patients, 33,000+ providers, 6,000+ clinics, and 600+ payer relationships.
Healthcare Reimbursement Is Increasingly Shifting Toward Outcomes, Access, Quality, And Total Cost-of-care Performance. VaxCare Possesses a Unique Combination Of Clinical, Claims, Adherence, And Provider Network Data That Creates Opportunities To Develop Innovative Payer Partnerships Focused On
Immunization performance
Adult vaccination compliance
Preventive care outcomes
Risk-based population health initiatives
Women's health and LARC programs
Provider incentive programs
Alternative reimbursement models
Network participation expansion
This executive will build the strategy, partnerships, contracts, and market capabilities necessary to unlock that opportunity.
Essential Responsibilities
National Payer Contracting Leadership
Responsible for the oversight, management, and development of 500-600 payer contracts to date.
Own enterprise-wide payer contracting strategy across commercial, Medicare Advantage, Medicaid, PBMs, and regional health plans.
Lead negotiation of national and regional payer contracts.
Develop scalable contracting frameworks for vaccines, LARCs, and future physician-administered therapies.
Drive payer expansion into new markets and closed-network environments.
Establish preferred payer and preferred provider relationships.
Optimize reimbursement economics and contract performance across all payer segments.
Lead contract renewals, renegotiations, and strategic contract restructuring.
Team Building & Leadership
Opportunity to build a small, dedicated team: assess current FTEs focused on this effort to determine fit for purpose and identify what other team members and skill sets are needed.
Value-Based Care Strategy
Design and execute VaxCare's national value-based care strategy.
Identify opportunities for risk-sharing, incentive-based reimbursement, and outcomes-driven programs.
Develop payer offerings tied to:
Vaccination rates
Preventive care adherence
Population health outcomes
Quality measure performance
Cost-of-care reduction
HEDIS and STAR measures
Build innovative reimbursement models that reward providers for closing care gaps.
Develop scalable economic models demonstrating VaxCare's value to payers.
Strategic Payer Partnerships
Build executive-level relationships with national payer leadership.
Mature and/or establish partnerships with UnitedHealthcare, Elevance, Aetna, Cigna, Humana, Centene, Molina, Regional Blues plans.
Create strategic joint-business plans with key accounts.
Develop executive engagement forums and payer advisory councils.
Serve as VaxCare's executive spokesperson for payer and market access initiatives.
Network Strategy & Market Expansion
Partner with Payer Operations, Revenue Cycle Management (RCM), and Sales/Growth teams to expand payer access.
Will work hand-in-hand with the Payer Operations and RCM leader to align contracting strategy with day-to-day operational execution.
Lead VaxCare's California market expansion strategy, including:
Developing and executing a targeted IPA engagement model tailored to California market dynamics.
Ensuring sufficient provider access and patient coverage to support VaxCare's SAM and SOM objectives.
Partnering closely with the physician sales team to navigate independent practice dynamics, IPA decision-making structures, and local market access complexities.
Lead strategies involving IPAs, CINs, ACOs, Delegated networks, Risk-bearing entities
Develop market-entry strategies for difficult reimbursement environments.
Drive network adequacy and payer participation initiatives.
Create scalable contracting playbooks for new states and products.
Economic & Analytics Leadership
Define and monitor enterprise payer KPIs.
Develop reimbursement and profitability analytics in concert with VaxCare finance.
Establish payer performance scorecards.
Quantify payer-specific value generated through:
Increased vaccination rates
Reduced care gaps
Improved adherence
Reduced avoidable medical costs
Utilize claims, quality, and operational data to support contracting negotiations.
Key Performance Indicators
Improve average reimbursement rate across the existing contract base.
Manage and decrease issue-resolution time with payers through developing a process to measure the current state and implementing a plan to reduce the # of issues and time to closure.
Establish Joint Operating Committees (JOC) with top payers to build relationships, build proactive communication ahead of Network issues, and develop strategies to grow revenue.
Contract with new payers where gaps in VaxCare's network exist.
Required Experience & Qualifications
VaxCare is seeking a seasoned payer contracting and value-based care executive with a demonstrated ability to build and scale enterprise payer relationships. The ideal candidate will bring:
An est

Work arrangement
Yes