Vice President Managed Care Contracting and Payor Strategy
2 weeks ago
Vice President Managed Care Contracting and Payor Strategy
Job Summary:The Vice President 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.
Key Responsibilities:- Develop and implement a comprehensive managed care contracting strategy to drive revenue growth and financial performance.
- Negotiate favorable contract terms with payors to secure optimal reimbursement structures.
- Build and maintain strong relationships with payors to ensure successful contract negotiations and ongoing collaboration.
- Monitor and analyze market trends, payor policies, and reimbursement rates to identify opportunities for improved financial performance.
- Collaborate with internal stakeholders to develop and implement strategies to optimize managed care contracts and payor relationships.
- Provide leadership and guidance to a team of managed care contracting professionals.
- Oversee the development of contract performance metrics and reporting.
- Serve as a subject matter expert on managed care contracting and payor strategy.
- Bachelor's degree in healthcare administration, business, finance, or related field.
- Minimum of 10 years of experience in managed care contracting, payor strategy, or related field, with at least 5 years in a leadership role.
- Demonstrated success in 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.
KPC Health is a multi-hospital system in California seeking a Vice President Managed Care Contracting and Payor Strategy to lead the development and execution of managed care contracting strategies and payor relationships.
-
Corona, California, United States KPC Health Full timeAbout KPC HealthKPC Health is a pioneering organization in the healthcare industry, with a successful track record of establishing integrated healthcare delivery systems. Our facilities serve a significant portion of California's population, totaling nearly ten million people.Job OverviewThe Vice President Managed Care Contracting and Payor Strategy will...
-
Corona, California, United States KPC GLOBAL MEDICAL CENTERS INC. Full timeJob Title: VP Managed Care Contracting and Payor StrategyJob Summary:The VP Managed Care Contracting and Payor Strategy will be responsible for leading the development and execution of managed care contracting strategies and payor relationships for a multi-hospital system in California. This individual will work closely with senior leadership, finance,...
-
Corporate Administrative Coordinator
3 weeks ago
Corona, California, United States Signature Healthcare Services Full timeJob SummaryWe are seeking a highly motivated and organized Administrative Assistant to join our team at Signature Healthcare Services. The ideal candidate will have a strong background in administrative support and be able to provide exceptional service to our staff and clients.Key ResponsibilitiesProvide administrative support to the Vice President of...
-
Contract Management Specialist
3 weeks ago
Corona, California, United States Monster Energy Full timeJob SummaryMonster is seeking an experienced Contracts Support Specialist to assist in managing the contract process. The ideal candidate will contribute to a successful contracts management program that is responsive to the business needs of the organization while remaining responsive to internal stakeholders.Key ResponsibilitiesReview agreement requests...
-
Operating Room Nurse
2 weeks ago
Corona, California, United States Supplemental Health Care Full timeOperating Room RN Travel Job in Corona, CaliforniaSupplemental Health Care is seeking a skilled Operating Room Registered Nurse for a travel nursing job in Corona, California.Job DetailsStart Date: ASAPShift: 10 hoursEmployment Type: TravelWe are working with a hospital in Corona, California to hire Operating Room RNs. Our team has over 30 years of...
-
Contract Specialist
2 weeks ago
Corona, California, United States Monster Energy Full timeContract Support SpecialistMonster is seeking an experienced Contract Support Specialist to join our team. As a key member of our contracts management program, you will be responsible for contributing to a successful contracts management program that is responsive to the business needs of the organization while remaining responsive to internal...
-
Senior Category Manager
2 weeks ago
Corona, California, United States Ferguson Full timeJob Title: Senior Category ManagerThe Minka Group is seeking a seasoned Senior Category Manager to lead the lighting category in the retail environment. As a key member of the team, you will be responsible for developing and implementing a comprehensive category strategy that aligns with the company's overall business objectives.Key Responsibilities:Develop...
-
Product Management Contract Associate
3 weeks ago
Corona, California, United States Integrated Resources Full timeJob SummaryWe are seeking a highly organized and detail-oriented Contract Associate to support our Direct Replenishment program. The successful candidate will have a strong background in pharmacy technology and experience working in a healthcare-related support role.Key ResponsibilitiesImplement new direct replenishment clients and resolve operations and...
-
Purchasing Manager
1 week ago
Corona, California, United States Professional Staffing Ventures Full timeJob Title: Purchasing ManagerWe are seeking a highly skilled Purchasing Manager to join our team at Professional Staffing Ventures. As a key member of our construction team, you will be responsible for managing the purchasing process, negotiating contracts, and ensuring the timely delivery of materials and services.Key Responsibilities:Establish and maintain...
-
Authorization Specialist
4 weeks ago
Corona, California, United States KPC Global MSO Full timeAuthorization SpecialistKPC Global MSO is seeking a highly skilled Authorization Specialist to join our team. As an Authorization Specialist, you will play a critical role in ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services assigned.Key Responsibilities:Verify and validate...
-
Authorization Specialist
3 weeks ago
Corona, California, United States KPC Global MSO Full timeJob SummaryKPC Global MSO is seeking a highly skilled Authorization Specialist to join our team. As an Authorization Specialist, you will play a critical role in ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services.Key ResponsibilitiesVerify and validate authorizations for all...
-
Senior Category Manager
4 weeks ago
Corona, California, United States Ferguson Full timeJob Summary:The Minka Group, a leading decorative lighting and fan industry company, is seeking a Senior Category Manager to lead all aspects of the entire lifecycle of lighting products within the retail environment. This role involves strategic planning, assortment management, vendor relations, and driving sales growth within the lighting category.Key...
-
Corona, California, United States Veolia Environnement SA Full timeAbout Veolia North AmericaVeolia North America is a leading provider of water, waste, and energy management services. Our company offers a full spectrum of services, including water and wastewater treatment, commercial and hazardous waste collection and disposal, energy consulting, and resource recovery.Job DescriptionWe are seeking a highly skilled Business...
-
ICU Nurse
2 weeks ago
Corona, California, United States Supplemental Health Care Full timeJob Title: ICU Nurse - Long Term Acute CareSupplemental Health Care is seeking a skilled ICU Nurse to join our team in Wichita, Kansas. As a travel nurse, you will provide high-quality patient care in a Long Term Acute Care facility.Job Details:12-hour shifts, nights13-week contract with possibility of extensionEstimated weekly payment may include both...
-
Authorization Specialist
3 weeks ago
Corona, California, United States KPC Global MSO Full timeJob SummaryWe are seeking a highly skilled Authorization Specialist to join our team at KPC Global MSO. The successful candidate will be responsible for ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned.Key ResponsibilitiesVerify and validate authorizations for all...
-
Authorization Specialist
2 weeks ago
Corona, California, United States KPC Global MSO Full timeJob SummaryWe are seeking a highly skilled Authorization Specialist to join our team at KPC Global MSO. As an Authorization Specialist, you will play a critical role in ensuring timely verification and validation of authorizations for all Commercial and Managed care inpatients and other services as assigned.Key Responsibilities:Ensure timely verification and...
-
Business Development Manager
1 week ago
Corona, California, United States Veolia Environnement SA Full timeJob Title: VP Business DevelopmentVeolia North America is seeking a highly experienced and skilled VP Business Development to lead our project development effort in the water, wastewater, and utility business. The successful candidate will be responsible for managing and executing the company's project development strategy, supporting the Sales group in...
-
Heavy Civil Design Manager
3 weeks ago
Corona, California, United States Atkinson Construction Full timeJob Title: Heavy Civil Design ManagerAtkinson Construction is seeking a highly skilled Heavy Civil Design Manager to join our team. As a key member of our design-build project teams, you will provide critical guidance to partnered design firms, leveraging internal resources, creativity, and professional relationships to manage complex workflows.Key...
-
Director, Risk Management
4 weeks ago
Corona, California, United States UHS Full timeAbout the RoleThe Director of Risk Management is a key member of the healthcare team at UHS, responsible for ensuring the effective operation of patient safety and risk management activities. This role requires a strong leader who can oversee the claim management functions, including investigation and analysis, as well as perform risk assessments and root...
-
Senior Business Development Manager
4 weeks ago
Corona, California, United States Veolia Environnement SA Full timeJob Description**Job Summary:**We are seeking a highly skilled and experienced Senior Business Development Manager to join our team at Veolia Environnement SA. As a key member of our business development team, you will be responsible for managing and executing the company's project development effort in the water, wastewater, and utility business.Key...