Strategic VP, Managed Care Contracting & Payor Strategy

Kpc Global Medical Centers Inc.; Corona (CA); On-site; USD 200,000 - 275,000; Full time

Job summary

KPC HQ in Corona, CA seeks a VP of Managed Care Contracting and Payor Strategy to lead the development and execution of contracting strategies for a multi-hospital system. You will report to the CFO and negotiate favorable terms with payors to drive revenue growth and strengthen financial performance.

The role requires a healthcare finance background, 10+ years in managed care contracting, 5+ years in leadership, with strong negotiation, communication, and strategic thinking skills.

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field required.
• Master's degree preferred.
• Minimum of 10 years of experience in managed care contracting, payor strategy, or related field.
• Minimum of 5 years in a leadership role.
• Demonstrated success in negotiating and executing managed care contracts with payors.
• Strong understanding of healthcare finance, reimbursement models, and regulatory requirements.
• Excellent communication, negotiation, and relationship-building skills.
• Ability to work effectively with cross-functional teams and senior leadership.
• Proven leadership experience, with ability to motivate and develop a team.

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 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

Strategic thinking

Negotiation

Communication

Cross-functional collaboration

Problem solving

Education

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

Master's degree

Job description

KPC HQ in Corona, CA seeks a VP of Managed Care Contracting and Payor Strategy to lead the development and execution of contracting strategies for a multi-hospital system. You will report to the CFO and negotiate favorable terms with payors to drive revenue growth and strengthen financial performance.

The role requires a healthcare finance background, 10+ years in managed care contracting, 5+ years in leadership, with strong negotiation, communication, and strategic thinking skills.