Building Name: UVMMC - 40 IDX DriveLocation Address: 40 IDX Drive, South Burlington VermontRegularDepartment: UVMHN – High Value CareFull TimeStandard Hours: 40Biweekly Scheduled Hours:Shift: DayPrimary Shift: -Weekend Needs: NoneSalary Range: Min $73.58 Mid $91.98 Max $110.37Recruiter: Cathleen Sullivan
The Payer Contracting, Policy & Regulatory Counsel serves as the lead legal, regulatory, and strategic advisor for payer contracting activities across the University of Vermont Health Network. As a key member of the integrated Payer Strategy and Contracting team, this role bridges traditional managed care contracting, value-based care contracting, payer policy analysis, regulatory interpretation, dispute resolution, and contract performance management.
Unlike a traditional healthcare attorney focused solely on legal review, this position functions as a strategic business partner supporting payer negotiations, reimbursement strategy, payment innovation, and enterprise-wide value-based transformation. The role works closely with contracting, finance, population health, operations, revenue cycle, and executive leadership to ensure payer agreements advance organizational objectives related to financial performance, care transformation, quality outcomes, and population health management.
The position provides legal and strategic counsel regarding commercial payer agreements, Medicare Advantage contracts, Medicaid managed care arrangements, accountable care organization agreements, alternative payment models, value-based reimbursement programs, payer policies, regulatory compliance, contract disputes, and payment integrity matters. The role serves as the organization's subject matter expert on payer contract interpretation, reimbursement policy, and regulatory developments impacting payer-provider relationships.
Reports to Vice President, Payer Strategy, Contracting
Key relationships High Value Care leadership / CFOs / Population Health / Revenue Cycle /Legal, Compliance /Finance / Clinical Leaders / payer representatives / outside counsel
EDUCATION
Required
• Juris Doctor (JD) from an accredited law school.
• Licensed and in good standing with the Vermont Bar or eligible for admission.
Preferred
Additional education or certification in: Healthcare Administration / Healthcare Finance / Compliance / Population Health / Value-Based Care
EXPERIENCE
Required
• Minimum of 7 years of progressively responsible experience in healthcare law, managed care contracting, or payer strategy.
• Significant experience negotiating and reviewing complex healthcare contracts.
• Demonstrated experience resolving payer disputes and reimbursement issues.
• Experience interpreting healthcare regulations and payer policy requirements.
Preferred
Experience within an integrated delivery network, academic medical center, health system, or payer organization
Experience with:
Commercial payer negotiations
Medicare Advantage contracting
Medicaid managed care programs
Value-based care arrangements
Accountable Care Organizations
Population health initiatives
Specialty pharmacy reimbursement
The University of Vermont Medical Center is part of a six-hospital network serving patients and their families in Vermont and northern New York. We're not just caregivers and staff - we're your friends and neighbors, offering expertise, kind words and compassionate care when and where you need them. We are dedicated to providing you with the best medical care possible.
The University of Vermont Medical Center, along with the Robert Larner M.D. College of Medicine The University of Vermont and College of Nursing and Health Sciences, is one of 138 academic medical centers in the country. Through The University of Vermont Health Network and collaborative relationships throughout Vermont and northern New York, we are able to provide the highest quality care, informed by academic research, to patients throughout our region.
The UVM Medical Center, along with its three founding organizations, The University of Vermont College of Medicine and College of Nursing and Health Sciences, share a rich history dating back to the 1800s.
The UVM Medical Center is committed to the development of an Integrated Delivery System which provides high value health care to the communities we serve and enhances our academic mission. Our mission is to improve the health of the people in the communities we serve by integrating patient care, education, and research in a caring environment.
