SVP, Managed Care Strategy & Payor Partnerships

PAM Health; Enola (PA); On-site; USD 250,000 - 340,000; Full time

Job summary

PAM Health in Enola, Pennsylvania seeks a Senior Vice President (SVP) of Managed Care to provide strategic leadership across a multi-state network including IRFs, LTACHs, outpatient programs, home health agencies, and more. You will oversee contracting, reimbursement optimization, and payor partnerships while aligning initiatives with growth, regulatory compliance, patient access, and financial success.

Reporting to the Senior Executive Vice President, Chief Government Relations Officer, this

Qualifications

• 10+ years of progressive leadership experience in managed care, payor contracting, utilization review, or healthcare administration.
• Significant experience within post-acute care, hospital systems, or healthcare services as well as professional service contracting.
• Experience working with health plans in network contracting or claims services is a plus.

Responsibilities

• Lead enterprise managed care contracting strategy, including negotiation, rate optimization, and payor relationship management across commercial, government, and value-based programs.
• Oversee development, review, and execution of managed care agreements, ensuring alignment with organizational, financial, and regulatory objectives.
• Collaborate with operations, finance, admissions, and revenue cycle teams to improve reimbursement, reduce denials, and optimize payor performance.
• Provide strategic direction and leadership to the managed care team, including Regional Directors, ensuring effective execution of priorities and initiatives.
• Build and maintain relationships with national, regional, and local payors to expand market access and strengthen partnerships.

Skills

Leadership

Contract negotiations

Strategic planning

Team management

Communication

Problem solving

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 in Enola, Pennsylvania seeks a Senior Vice President (SVP) of Managed Care to provide strategic leadership across a multi-state network including IRFs, LTACHs, outpatient programs, home health agencies, and more. You will oversee contracting, reimbursement optimization, and payor partnerships while aligning initiatives with growth, regulatory compliance, patient access, and financial success.

Reporting to the Senior Executive Vice President, Chief Government Relations Officer, this