Regional VP, Managed Care Strategy & Payer Contracts

Prime Healthcare; Lake Arrowhead (NJ); On-site; USD 136,656 - 250,000; Full time

Job summary

Prime Healthcare is seeking a Regional Vice President, Managed Care to develop and implement managed care strategies across the organization. The role includes negotiating contracts with payers and implementing programs through contractual arrangements.

The incumbent will oversee contracts in NJ, PA, and RI, with potential regional support as needed. The position requires extensive experience in managed care, strategic planning, and strong communication skills.

Qualifications

• In depth knowledge of managed care concepts, practices and procedures.
• Strategic thinker with ability to work independently.
• Excellent communication and presentation skills.

Responsibilities

• Develops and implements the managed care strategies for the organization.
• Negotiates and administers contracts with managed care payers.
• Plans, evaluates, and implements managed care programs through contract negotiations.
• Assists Finance Department in projects including disproportionate share.

Skills

Managed care concepts

Strategic thinking

Independent work

Communication skills

Education

Master's degree in related field

Job description

Prime Healthcare is seeking a Regional Vice President, Managed Care to develop and implement managed care strategies across the organization. The role includes negotiating contracts with payers and implementing programs through contractual arrangements.

The incumbent will oversee contracts in NJ, PA, and RI, with potential regional support as needed. The position requires extensive experience in managed care, strategic planning, and strong communication skills.