Vice President Managed Care Contracting and Payor Strategy

2 weeks ago


Corona, California, United States KPC Global MSO Full time
Job Title:

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.
Requirements:
  • 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.
About KPC Health:

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.



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