Fractional/Contract VP Managed Care Contracting & Payor Strategy

KPC GLOBAL MEDICAL CENTERS INC.•Corona, CA

6d•$96 - $132

About The Position

The VP Managed Care Contracting and Payor Strategy will lead the development and execution of managed care contracting strategies and payor relationships for a multi-hospital system in California. Reporting to the CFO, this position works closely with senior leadership and finance, legal, and operational teams to negotiate favorable contract terms with payors, drive revenue growth, and improve financial performance. The role also builds and maintains relationships with key stakeholders and provides leadership to managed care contracting professionals. 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 leadership experience, including the 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 for the multi-hospital system.
Lead negotiations with payors to secure favorable contract terms, rates, and reimbursement structures.
Build and maintain strong relationships with payors to support successful 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, operational, and other internal stakeholders to optimize managed care contracts and payor relationships.
Provide leadership and guidance to a team of managed care contracting professionals to support successful contract negotiations and execution.
Oversee the development of 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 system in payor negotiations, industry events, and other relevant forums to promote the organization's interests and objectives.