AVP Managed Care

Description This position is incentive eligible. Introduction Do you want to join an organization that invests in you as an AVP Managed Care? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years. Benefits HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include: Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation. Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long‑term care coverage, moving assistance, pet insurance and more. Free counseling services and resources for emotional, physical and financial wellbeing 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service) Employee Stock Purchase Plan with 10% off HCA Healthcare stock Family support through fertility and family building benefits with Progyny and adoption assistance. Referral services for child, elder and pet care, home and auto repair, event planning and more Consumer discounts through Abenity and Consumer Discounts Retirement readiness, rollover assistance services and preferred banking partnerships Education assistance (tuition, student loan, certification support, dependent scholarships) Colleague recognition program Time Away From Work Program (paid time off, paid family leave, long‑ and short‑term disability coverage and leaves of absence) Employee Health Assistance Fund that offers free employee‑only coverage to full‑time and part‑time colleagues based on income. Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards) Note: Eligibility for benefits may vary by location. You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated AVP Managed Care like you to be a part of our team. Job Summary and Qualifications We are seeking a strategic and results‑driven Assistant Vice President (AVP) to lead payer contracting and revenue optimization across a diverse healthcare portfolio valued between $1.0B and $2.5B. This role is pivotal in driving financial performance, managing payer relationships, and supporting strategic initiatives across hospitals, behavioral health facilities, emergency departments, ambulatory surgery centers, and ancillary services. The AVP will collaborate closely with internal stakeholders and external payers to ensure alignment with company goals and market strategies. This role will primarily support markets in Idaho and Alaska but may also work with other markets as needed. Key Responsibilities Optimize net revenue across a $1B–$2.5B portfolio including hospitals, ASCs, EDs, behavioral health, and PSG‑employed physicians. Lead contract negotiations and implementation with Managed Care Organizations (MCOs) and other payers. Support strategic planning by preparing annual Market Strategic Reviews and PCA budget packets with RVPs. Maximize contract yield using strategic pricing, legal, and analytics tools (e.g., Qlikview, Service Line tools). Collaborate across teams including PCA-Government Payers and Physician Services Group (PSG) on payer contracting. Drive denial management through proactive contract protections, tracking, resolution, and dispute processes. Develop and mentor staff in alignment with company policies and best practices. Contribute to strategic initiatives such as alternative payment models (APMs), healthcare reform, and delivery system redesign. Engage with senior leadership across HCA’s Group/Division/Market/Facility teams to align PCA activities with operational goals. Qualifications Bachelor’s degree required Master’s degree preferred 10+ years of relevant experience is required Experience in Managed Care contract negotiations for a hospital system or Managed Care Organization We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status. #J-18808-Ljbffr