VP, Payer Strategy and Contracting

We’re Scan.com, the digital health scale-up making diagnostics accessible, fast, and transparent. Our technology speeds up diagnoses for timely treatments, improving healthcare outcomes for hundreds of patients each day.

We're doing diagnostics differently, with solutions tailored to both patients and providers, all backed by our technology and world-class customer operations team. Our B2C marketplace simplifies booking a scan, making it as straightforward for patients as booking a hotel. Our B2B platforms provide live scheduling at the point of care and harness AI to ease workflows for physicians, attorneys, and providers.

We're looking for a VP, Payer Strategy & Contracting at an exciting time - we've successfully launched multiple platforms and products, raised over $100m in VC funding, reached profitability, and have a growth trajectory of over 100% YoY.

WHAT YOU WILL BE GETTING INVOLVED IN:

The VP, Payer Strategy & Contracting, is the founding payer hire for Scan.com's US business. You will report to the CEO, Charlie Bullock. To start, you will own each deal end-to-end: analysis, financial modelling, deal mechanics, rate architecture, contracting through to signature, and the ongoing relationship post-go-live. You are equal parts builder and closer. In your first 12 months, you will convert an active pipeline of health plan, TPA, and cost-containment conversations to signed contracts, build the reusable payer contracting playbook, and expand the pipeline beyond what the CEO has personally opened to date. As the function scales, you will build a team beneath you covering sales and contracting.

As a scale-up business, you can expect your role to develop over time. Here are some of the types of things you could be getting involved in:

• 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

THE TOP 5 THINGS WE WANT YOU TO ACHIEVE IN YOUR FIRST YEAR ARE:

1. Three to four signed payer partnerships, covering at least one health plan, one TPA, and one cost-containment vendor, with material contracted imaging volume live against committed SLAs

2. A reusable payer contracting playbook documented end-to-end, including rate architecture, SLA standards, contract templates, and performance benchmarks ready to scale

3. Demonstrable expansion of the payer pipeline beyond CEO-sourced opportunities, evidencing a personal commercial engine and a credible top-of-funnel motion

4. A published internal pricing and rate framework that becomes the default for all new payer conversations, used by the CEO and the broader commercial team

5. Visible AI-driven productivity gains across the payer work stream, measured in deal cycle time, analysis turnaround, and contract throughput

WHAT YOU MIGHT BRING TO THE TABLE:

You don't need to tick all the boxes to apply for this role. However, these might be some of the ways you are currently adding value:

• 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

HOW WE WILL INTERVIEW YOU:

We keep our interview process short and sweet, and we're a nimble team that can progress at pace. Here are the stages you can expect, but we might switch up the order of each step depending on team availability:

1. Introductory call/interview with Charlie, our CEO and Founder. The call is via telephone and will last around 45 minutes.

2. Should it feel like there is an initial fit for all, we will invite you to a video call with Devin, our Senior Talent Partner for around 30 minutes.

3. All of our roles will have a small assessment stage. This might be in person, a take-home assessment, or further video calls. Length varies, but we're mindful of your time and try to keep it as simple as possible.

4. Meet the founders and/or other team members. Again, length varies depending on how many people and whether in person or via video call.

5. Offer!

BENEFITS:

We go beyond the basics with our benefits package. Here's what you can expect from us:

• 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

Diversity at SCAN.COM

Scan.com is committed to eliminating discrimination and encouraging diversity within our team.

We strive to provide equality and fairness for all job applicants and employees, and never discriminate on the basis of gender, marital status, age, race, ethnicity, religion, or physical differences.

We are opposed to all forms of unlawful treatment and discrimination.

Our ambition is for our team and its Board to be representative of the diversity in society, and for every employee to feel respected and able to bring their best selves to work.