Executive VP, Managed Care & Payer Strategy

Clayton Clinical; Tennessee; On-site; USD 180,000 - 300,000; Full time

Benefits offered by this job

401(k) Retirement Plan

Daily Pay Options

Comprehensive Health Benefits

Disability Insurance

Professional Development Opportunities

Growth & Innovation initiatives

Job summary

Clayton Clinical seeks a dynamic VP of Managed Care to lead contracting strategy, strengthen payer partnerships, and optimize reimbursement across the organization. The role requires executive leadership in reimbursement, provider network development, and care coordination initiatives to support growth and financial performance.

The ideal candidate has extensive experience in managed care contracting, analytics, and team leadership, with a track record of delivering favorable contract terms

Qualifications

• Minimum 5 years of progressive healthcare experience with managed care exposure.
• Proven track record negotiating payer contracts and improving reimbursement.
• Strong leadership, strategic planning, and relationship management skills.
• Excellent communication with executive leadership and external partners.

Responsibilities

• Provide executive leadership and strategic direction for managed care contracting and payer relations.
• Develop and implement comprehensive managed care strategies aligned with growth and financial goals.
• Lead contract negotiations, renewals, and payer partnerships to maximize revenue.
• Oversee provider network participation and payer enrollment requirements.
• Monitor KPIs and financial performance; drive process improvements and compliance.

Skills

Healthcare experience

Managed care contracting

Payer relations

Leadership

Strategic planning

Education

Bachelor's degree in Healthcare Administration or related field

MBA or MHA (preferred)

Tools

Microsoft Office

Financial reporting

Healthcare data analysis

Job description

Clayton Clinical seeks a dynamic VP of Managed Care to lead contracting strategy, strengthen payer partnerships, and optimize reimbursement across the organization. The role requires executive leadership in reimbursement, provider network development, and care coordination initiatives to support growth and financial performance.

The ideal candidate has extensive experience in managed care contracting, analytics, and team leadership, with a track record of delivering favorable contract terms