Regional VP, Managed Care Contracts & Strategy

Prime Healthcare Services; Aurora (IL); Presencial; USD 134.000 - 194.000; Jornada completa

Descripción de la vacante

Prime Healthcare Services is seeking a Regional Vice President, Managed Care to develop and implement organization-wide managed care strategies, negotiate payer contracts, and align risk-sharing programs. The role directs rate-setting, contract structures, and performance-based arrangements across multiple markets.

Ideal candidates bring at least 10 years of related experience, a Bachelor's degree (Master's preferred), deep knowledge of managed care concepts, and strong communication and

Formación

• At least 10 years related experience.
• Minimum of Bachelor's degree required.
• Master's degree in related field preferred.
• In depth knowledge of managed care concepts, practices and procedures.
• Strategic thinker, goal oriented, ability to work independently.
• Excellent communication and presentation skills.
• Payer and provider experience preferred.

Responsabilidades

• Develops and implements managed care strategies for the organization.
• Negotiates and administers contracts with managed care payers.
• Plans, evaluates, and implements managed care programs through contract negotiation.
• Negotiates Medicaid contracts and supplemental funding.
• Assists Finance Department on projects and disproportionate share.

Conocimientos

Managed care concepts

Strategic thinking

Communication

Presentation skills

Negotiation

Payer experience

Provider experience

Educación

Bachelor's degree

Master's degree

Descripción del empleo

Prime Healthcare Services is seeking a Regional Vice President, Managed Care to develop and implement organization-wide managed care strategies, negotiate payer contracts, and align risk-sharing programs. The role directs rate-setting, contract structures, and performance-based arrangements across multiple markets.

Ideal candidates bring at least 10 years of related experience, a Bachelor's degree (Master's preferred), deep knowledge of managed care concepts, and strong communication and