SVP, Managed Care Strategy & Payor Partnerships

PAM Health Specialty and Rehabilitation Hospital of Covington; Enola (PA); On-site; USD 250,000 - 350,000; Full time

Benefits offered by this job

Health insurance

Education advancement program

Paid time off

Job summary

PAM Health is seeking a Senior Vice President (SVP) of Managed Care to lead its multi-state managed care strategy across IRFs, LTACHs, outpatient programs, home health, and physician enterprises. You will direct contracting, reimbursement optimization, and payor partnerships to drive growth and compliance.

Reporting to the Senior Executive Vice President & Chief Government Relations Officer, you will mentor the Managed Care team, build payer relationships, negotiate favorable terms, and align

Qualifications

• Bachelor’s degree required; Master’s degree strongly preferred.
• 10+ years of progressive leadership experience in managed care, payor contracting, or healthcare administration.
• Experience with post-acute care settings (IRF/LTAC) and multi-state operations.
• Proven success in contract negotiation and revenue optimization.

Responsibilities

• Lead enterprise managed care contracting strategy across commercial, government, and value-based programs.
• Oversee development and execution of managed care agreements, aligned with financial and regulatory 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 prioritized initiatives are executed.
• Build and maintain payer relationships to expand market access.
• Identify growth opportunities and negotiate favorable terms across new markets.
• Monitor CMS regulations and payor policies to ensure compliance.
• Partner with Legal, Compliance, and Revenue Cycle to mitigate risk.

Skills

Leadership in managed care

Payor contracting

Reimbursement optimization

Contract negotiation

Multi-state healthcare exposure

Education

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field

Master’s degree (MBA, MHA, or similar) strongly preferred

Job description

PAM Health is seeking a Senior Vice President (SVP) of Managed Care to lead its multi-state managed care strategy across IRFs, LTACHs, outpatient programs, home health, and physician enterprises. You will direct contracting, reimbursement optimization, and payor partnerships to drive growth and compliance.

Reporting to the Senior Executive Vice President & Chief Government Relations Officer, you will mentor the Managed Care team, build payer relationships, negotiate favorable terms, and align