Regional VP, Managed Care Strategy & Payer Negotiations

Prime Healthcare Services; Ontario (CA); Vor Ort; USD 180.000 - 280.000; Vollzeit

Zusammenfassung

Prime Healthcare in Ontario, California seeks a Regional VP, Managed Care to shape the organization’s managed care strategy and performance. You will lead development of alignment models, negotiate contracts with payers, and evaluate programs across the network.

This full-time leadership role requires 10+ years in managed care, strong strategic thinking, and excellent communication and presentation skills. Based in Ontario, CA, the position focuses on payer relations and program optimization.

Qualifikationen

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

Aufgaben

• Develops and implements managed care strategies for the organization.
• Develops alignment models such as pay for performance, bundled payments and various forms of risk contracting.
• Negotiates and administers contracts with managed care payers.
• Responsible for planning, evaluating, and implementing the various managed care programs.
• Negotiates contracts with managed care companies.

Kenntnisse

Managed care experience

Knowledge of managed care concepts

Strategic thinking

Communication skills

Presentation skills

Ausbildung

Master's degree in related field

Jobbeschreibung

Prime Healthcare in Ontario, California seeks a Regional VP, Managed Care to shape the organization’s managed care strategy and performance. You will lead development of alignment models, negotiate contracts with payers, and evaluate programs across the network.

This full-time leadership role requires 10+ years in managed care, strong strategic thinking, and excellent communication and presentation skills. Based in Ontario, CA, the position focuses on payer relations and program optimization.