VP, Managed Care & Payer Strategy

Clayton Clinical; Louisville (KY); Sur place; USD 180 000 - 320 000; Plein temps

Avantages offerts par ce poste

Competitive salary

401(k) plan

PTO

Daily pay options

Health insurance

Disability insurance

Wellness programs

Professional development

Leadership team

Growth opportunities

Résumé du poste

Clayton Clinical in Louisville, KY seeks a dynamic Vice President of Managed Care to lead contracting, payer partnerships, and revenue optimization across the organization. This executive role drives strategic negotiations, network development, and care coordination initiatives to improve financial performance while upholding high-quality patient care.

The ideal candidate brings extensive experience in managed care, strong analytical skills, and a track record of building high-performing teams

Qualifications

• Minimum of 5 years of progressive healthcare experience, including at least 3 years of managed care contracting, payer relations, or provider network development.
• Experience negotiating and managing managed care contracts and payer agreements.
• Strong understanding of healthcare reimbursement methodologies, payer contracts, and revenue cycle operations.
• Proven ability to analyze financial data, evaluate contract performance, and identify revenue optimization opportunities.
• Strong leadership, strategic planning, negotiation, and relationship management skills.
• Excellent written and verbal communication with executive stakeholders.
• Proficiency in Microsoft Office applications and healthcare data analysis.
• Ability to manage multiple priorities and lead cross-functional initiatives.

Responsabilités

• Provide executive leadership and strategic direction for all managed care contracting, reimbursement, and payer relationship initiatives.
• Develop and implement comprehensive managed care strategies that support growth, financial sustainability, and operational excellence.
• Lead negotiations, renewals, amendments, and strategic payer partnerships.
• Oversee provider network participation, credentialing, and payer enrollment requirements.
• Monitor payer performance, contract compliance, and reimbursement trends to ensure favorable outcomes.
• Collaborate with clinical, financial, and operations teams to align initiatives with organizational goals.
• Ensure compliance with applicable regulations and payer requirements.

Connaissances

Executive leadership

Negotiation

Payer relations

Contract analytics

Team development

Formation

Bachelor's degree

Master's degree

Outils

Microsoft Office

Excel

Description du poste

Clayton Clinical in Louisville, KY seeks a dynamic Vice President of Managed Care to lead contracting, payer partnerships, and revenue optimization across the organization. This executive role drives strategic negotiations, network development, and care coordination initiatives to improve financial performance while upholding high-quality patient care.

The ideal candidate brings extensive experience in managed care, strong analytical skills, and a track record of building high-performing teams