Senior Vice President (SVP) of Managed Care | PAM Health Corporate

PAM Health Corporate Office•Enola, PA

21h

About The Position

The Senior Vice President (SVP) of Managed Care leads enterprise-wide managed care strategy, including contracting, reimbursement optimization, and payor partnerships across PAM Health’s multi-state post-acute care platform. This role drives financial performance, supports patient access, and ensures alignment with regulatory requirements and organizational goals. As a key executive leader, the SVP partners with operations, finance, clinical, admissions, and revenue cycle teams to integrate managed care initiatives and optimize outcomes. The role oversees a high-performing team and leads engagement across all major payor segments, including commercial, Medicare, Medicaid, and government programs.

Requirements

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required.
10+ years of progressive leadership experience in managed care, payor contracting, Utilization Review, or claims or healthcare administration.
Significant experience within post-acute care, hospital systems, or healthcare services as well as Professional Service contracting.
Experience in working with Health Plans in network contracting role or claim services a distinct plus.
Proven success in contract negotiation, payor strategy, and revenue optimization.
Expertise in all forms of reimbursement such as per diems, episode pricing, capitation, O/P Fee Schedules, RBRVS for professional services.
10+ years of progressive leadership experience in managed care, payor contracting, or healthcare administration.
Significant experience within post-acute care, including IRF and LTAC settings strongly preferred.
Experience working within multi-state healthcare organizations with an understanding of varying regulatory and reimbursement environments.

Nice To Haves

Master’s degree (MBA, MHA, or similar) strongly preferred.

Responsibilities

Lead enterprise managed care contracting strategy, including negotiation, rate optimization, and payor relationship management across commercial, government, and value-based programs.
Oversee development, review, and execution of managed care agreements, ensuring alignment with organizational, financial, and regulatory objectives.
Collaborate with operations, finance, admissions, and revenue cycle teams to improve reimbursement, reduce denials, and optimize payor performance.
Provide strategic direction and leadership to managed care team, including Regional Directors, ensuring effective execution of priorities and initiatives.
Build and maintain relationships with national, regional, and local payors to expand market access and strengthen partnerships.
Identify opportunities for growth, contract expansion, and revenue improvement across new and existing markets and service lines.
Partner with executive leadership to assess risks, trends, and opportunities in managed care and reimbursement environments.
Monitor industry changes, CMS regulations, and payor policies to ensure compliance and informed strategic decision-making.
Support financial performance through contract analysis, reimbursement strategies, and collaboration on revenue cycle initiatives.
Ensure compliance with regulatory requirements and managed care contracts.
Monitor CMS, healthcare laws, and reimbursement changes.
Oversee adherence to contract terms across multi-state operations.
Partner with Legal, Compliance, and Revenue Cycle to mitigate risk.
Promotes cooperation, fairness and equity; shows respect for people and their differences; works to understand perspectives of others; demonstrates empathy; brings out the best in others and in his/her team.
Coaches, evaluates, develops, and inspires staff; sets expectations; recognizes achievements.
Demonstrates accountability and sound judgment in managing company resources; appropriate understanding of confidentiality and company values; adheres to and supports company policies, procedures and safety guidelines.
Identifies problems and involves others in seeking solutions; conducts appropriate analysis and searches for best solutions; effectively and efficiently implements appropriate responses to correct problems; responds promptly and effectively to new challenges.
Makes clear, consistent decisions; acts with integrity in all decisions; distinguishes relevant from irrelevant information; makes timely, appropriate decisions.
Understands company vision and aligns priorities accordingly; measures outcomes; uses feedback to redirect as required; evaluates alternatives; appropriately organizes complex issues to desirable resolution.
Connects with peers, subordinate employees and all customers; actively listens; clearly and effectively shares information; demonstrates effective oral and written communication skills; negotiates effectively.
Strives for efficient, effective, high-quality performance in self and in the department; delivers timely and accurate results; resilient when responding to matters that are challenging; takes initiative to make improvements.
Motivates others; accepts responsibility; maintains high morale in department; develops trust and credibility; expects honest and ethical behavior of self and staff.
Encourages cooperation and collaboration; builds effective teams; works in partnership with others; is flexible; responsive to the needs of others.
Maintains up-to-date skills through involvement with professional organizations and/or continuing education.
Maintains the highest level of customer service via courtesy, compassion and positive communication.
Promotes the mission and vision of PAM Health within the work environment and the community.
Respects dignity and confidentiality by adherence to all applicable policies and procedures.
Works in a manner that promotes safety; wears clothing appropriate to the performance of the job.
Participates in OSHA required training.
Follows universal precautions as appropriate for position; complies with Employee Health requirements for continued employment.
Reports unsafe practices to management.
Knows own role in case of an emergency.