Fractional VP, Managed Care Contracting & Payor Strategy

Hemet Global Medical Center; Corona (CA); On-site; USD 132,000 - 182,000; Part time

Job summary

KPC CORONA in Corona, CA seeks a Fractional/Contract VP of Managed Care Contracting & Payor Strategy to lead development and execution of contracting strategies and payor relationships for a multi-hospital system.

The role reports to the CFO, requires 10+ years in managed care, and leadership experience. Strong expertise in healthcare finance, reimbursement models, and payor strategy is essential.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field required.
• Master's degree preferred.
• Minimum of 10 years of experience in managed care contracting, payor strategy, or related field.
• Minimum of 5 years in a leadership role.

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 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 optimize managed care contracts and payor relationships.
• Provide leadership to a team of managed care contracting professionals to ensure successful negotiations.
• Oversee development of contract performance metrics and reporting to track progress.
• Serve as a subject matter expert on managed care contracting and payor strategy for senior leadership guidance.
• Stay current on industry regulations and best practices in managed care contracting and payor strategy.
• Represent the system in negotiations with payors and industry forums to promote organizational objectives.

Skills

Strategic Thinking

Leadership

Negotiation

Communication

Problem Solving

Education

Bachelor's degree in healthcare administration, business, finance, or related field

Master's degree preferred

Job description

KPC CORONA in Corona, CA seeks a Fractional/Contract VP of Managed Care Contracting & Payor Strategy to lead development and execution of contracting strategies and payor relationships for a multi-hospital system.

The role reports to the CFO, requires 10+ years in managed care, and leadership experience. Strong expertise in healthcare finance, reimbursement models, and payor strategy is essential.