Fractional VP, Managed Care & Payor Strategy

Go Fractional; Corona (CA); On-site; USD 132,000 - 182,000; Part time

Job summary

Go Fractional is seeking a Fractional/Contract VP for Managed Care Contracting & Payor Strategy in California. The role leads development and execution of contracting strategies and payor relationships for a multi-hospital system, reporting to the CFO.

The position requires extensive experience in managed care contracting, strong leadership, and the ability to negotiate favorable terms with payors. This is a fractional/contract opportunity based in California.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field required.
• Master's degree preferred.

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, including finance, legal, and operational teams, 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 and support 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

Leadership experience

Communication & negotiation skills

Cross-functional collaboration

California payer landscape knowledge

Education

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

Master's degree preferred

Job description

Go Fractional is seeking a Fractional/Contract VP for Managed Care Contracting & Payor Strategy in California. The role leads development and execution of contracting strategies and payor relationships for a multi-hospital system, reporting to the CFO.

The position requires extensive experience in managed care contracting, strong leadership, and the ability to negotiate favorable terms with payors. This is a fractional/contract opportunity based in California.