Strategic SVP, Managed Care & Payor Partnerships

PAM Health Specialty and Rehabilitation Hospital of Covington; Hampden Township (PA); Vor Ort; USD 220.000 - 340.000; Vollzeit

Benefits dieser Stelle

Education Advancement Program

Competitive pay and benefits

Zusammenfassung

PAM Health Specialty and Rehabilitation Hospital of Covington is seeking a Senior Vice President (SVP) of Managed Care to provide strategic leadership across a multi-state network of inpatient and post-acute care facilities. The SVP will oversee contracting, reimbursement optimization, and payer partnerships while aligning initiatives with growth and regulatory requirements.

The role leads a Managed Care team, collaborates with executive leadership, and drives value-based care initiatives across

Qualifikationen

• Bachelor’s degree in Healthcare Administration, Finance, or related field required.
• Master’s degree (MBA, MHA, or similar) strongly preferred.
• 10+ years of progressive leadership experience in managed care, payor contracting, utilization review, or healthcare administration.

Aufgaben

• Lead enterprise managed care contracting strategy across commercial, government, and value-based programs.
• Oversee development, review, and execution of managed care agreements with alignment to objectives.
• Collaborate with operations, finance, admissions, and revenue cycle to improve reimbursement and reduce denials.
• Provide strategic direction to the managed care team and ensure execution of priorities.
• Build and maintain relationships with national, regional, and local payors to expand market access.
• Identify opportunities for growth, contract expansion, and revenue improvement across new markets and services.
• Partner with executive leadership to assess risks, trends, and opportunities in reimbursement environments.
• Monitor CMS regulations and payor policies to ensure compliance and informed decisions.
• Support financial performance through contract analysis and revenue cycle collaboration.
• Ensure compliance with regulatory requirements and contract terms across multi-state operations.

Kenntnisse

Leadership

Contract negotiation

Payor contracting

Strategy development

Regulatory compliance

Communication

Ausbildung

Bachelor’s degree in Healthcare Administration

Master’s degree (MBA, MHA) strongly preferred

Tools

Contract management systems

Jobbeschreibung

PAM Health Specialty and Rehabilitation Hospital of Covington is seeking a Senior Vice President (SVP) of Managed Care to provide strategic leadership across a multi-state network of inpatient and post-acute care facilities. The SVP will oversee contracting, reimbursement optimization, and payer partnerships while aligning initiatives with growth and regulatory requirements.

The role leads a Managed Care team, collaborates with executive leadership, and drives value-based care initiatives across