Vice President (VP) of Managed Care

Stance Health Solutions • Irvine, CA

32d

About The Position

Plans and directs all aspects of an organization's managed care function. The VP Managed Care is responsible for developing, negotiating, and managing managed care contracts and relationships to optimize reimbursement, ensure compliance, and support the organization's strategic objectives within the insurance sector.

Requirements

• Minimum of 10 years of experience in managed care, insurance, or healthcare administration, with at least 5 years in a leadership or executive role.
• Bachelor’s Degree or equivalent experience.
• Durable medical equipment (DME) environment PLUS.
• California Resident recent experience working in CA managed care

Responsibilities

• Responsible for directing and implementing managed care systems for healthcare facilities.
• Lead the negotiation and administration of managed care contracts with payors and providers.
• Develop and implement strategies to maximize reimbursement and minimize financial risk.
• Monitor contract performance and ensure compliance with regulatory requirements.
• Collaborate with executive leadership to align managed care initiatives with organizational goals.
• Analyze market trends and payor performance to inform decision making.
• Establish and maintain strong relationships with external partners and stakeholders.

What This Job Offers

• Job Type: Full-time
• Career Level: Executive