Fractional VP, Managed Care Contracts & Payor Strategy

Kpc Global Medical Centers Inc.; Corona (CA); On-site; USD 132,000 - 182,000; Part time

Job summary

KPC CORONA, Corona, CA, is seeking a Fractional/Contract VP to lead the development and execution of managed care contracting strategies and payor relationships for a multi-hospital system in California.

Reporting to the CFO, you will negotiate favorable contract terms with payors, drive revenue growth, and guide a cross-functional team across finance, legal, and operations to optimize contracts and financial performance.

Qualifications

• Bachelor’s degree in healthcare administration, business, finance, or related field; master’s preferred.
• 10+ years in managed care contracting, payor strategy, or related field.
• 5+ years in a leadership role.
• Proven success negotiating and executing managed care contracts.
• Strong understanding of healthcare finance and regulatory requirements.
• Excellent communication, negotiation, and relationship-building skills.
• Ability to work with cross-functional teams and senior leadership.
• Knowledge of California healthcare market and payor landscape preferred.
• Deep understanding of CA managed care contracting including IPA’s; capitation/risk, safety nets and commercial contracting.
• Strategic Thinking
• Problem Solving and Effective Communication

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 develop and implement strategies to optimize managed care contracts and payor relationships.
• Provide leadership and guidance to a team of managed care contracting professionals to ensure successful contract negotiations and execution.
• Oversee the development of contract performance metrics and reporting to track progress and identify areas for improvement.
• Serve as a subject matter expert on managed care contracting and payor strategy, providing guidance to senior leadership and other stakeholders.
• Stay current on industry trends, regulations, and best practices related to managed care contracting and payor strategy.
• Represent the multi-hospital system in negotiations with payors, industry events, and other relevant forums to promote the organization's interests and objectives.

Skills

Negotiation

Relationship-building

Communication

Cross-functional leadership

Strategic thinking

Team management

Education

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

Master’s degree preferred

Job description

KPC CORONA, Corona, CA, is seeking a Fractional/Contract VP to lead the development and execution of managed care contracting strategies and payor relationships for a multi-hospital system in California.

Reporting to the CFO, you will negotiate favorable contract terms with payors, drive revenue growth, and guide a cross-functional team across finance, legal, and operations to optimize contracts and financial performance.