Fractional/Contract VP Managed Care Contracting & Payor Strategy
About The Position
The VP Managed Care Contracting and Payor Strategy leads the development and execution of managed care contracting strategies and payor relationships for a multi-hospital system in California. Reporting to the CFO, this role works with senior leadership and finance, legal, and operational teams to negotiate favorable payor contract terms, drive revenue growth, and improve financial performance. The position also provides leadership to managed care contracting professionals, advises stakeholders on contracting and payor strategy, and represents the system in negotiations and industry forums. This is a fractional/contract position.
Requirements
- Bachelor's degree in healthcare administration, business, finance, or a related field.
- At least 10 years of experience in managed care contracting, payor strategy, or a related field.
- At least 5 years in a leadership role.
- Demonstrated success negotiating and executing managed care contracts with payors.
- Strong understanding of healthcare finance, reimbursement models, and regulatory requirements.
- Excellent communication, negotiation, and relationship-building skills.
- Ability to work effectively with cross-functional teams and senior leadership.
- Proven ability to motivate and develop a team of professionals.
- Deep understanding of California managed care contracting and relationships, including IPAs, capitation/risk, safety net services, and commercial managed care contracting.
- Strategic thinking, financial acumen, risk management, problem solving, effective communication, and team leadership.
Nice To Haves
- Master's degree.
- Knowledge of the California healthcare market and payor landscape.
Responsibilities
- Develop and implement a comprehensive managed care contracting strategy to drive revenue growth and financial performance.
- Lead payor negotiations to secure favorable contract terms, rates, and reimbursement structures.
- Build and maintain strong payor relationships to support negotiations and ongoing collaboration.
- Monitor and analyze market trends, payor policies, and reimbursement rates to identify opportunities to improve financial performance.
- Collaborate with finance, legal, and operational teams to optimize managed care contracts and payor relationships.
- Provide leadership and guidance to managed care contracting professionals through contract negotiations and execution.
- Oversee contract performance metrics and reporting to track progress and identify areas for improvement.
- Serve as a subject matter expert on managed care contracting and payor strategy, advising senior leadership and other stakeholders.
- Stay current on industry trends, regulations, and best practices related to managed care contracting and payor strategy.
- Represent the multi-hospital system in payor negotiations, industry events, and other relevant forums.
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What This Job Offers
Career Level
Executive
