VP, Managed Care & Payer Strategy

Hill Valley Healthcare; Tennessee; On-site; USD 180,000 - 280,000; Full time

Benefits offered by this job

Competitive executive compensation

401(k) retirement plan

Paid time off (PTO)

Health benefits

Job summary

Clayton Clinical is seeking a dynamic Vice President of Managed Care to lead our contracting strategy, strengthen payer partnerships, and maximize revenue opportunities across our healthcare network.

The role requires extensive experience in managed care contracting, payer relations, and provider network development, with a focus on strategic negotiations and financial performance. Join a growing organization committed to high-quality patient care and collaborative leadership.

Qualifications

• Minimum of 5 years of progressive healthcare leadership experience.
• 3+ years of managed care contracting, payer relations, or provider network development.
• Strong understanding of healthcare reimbursement methodologies and revenue cycle operations.
• Proven ability to analyze financial data and drive revenue optimization.
• Excellent written and verbal communication with executive stakeholders.

Responsibilities

• Provide executive leadership and strategic direction for all managed care contracting and payer relationships.
• Develop and implement managed care strategies to support growth and financial sustainability.
• 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.

Skills

Strategic leadership

Negotiation

Payer relations

Financial acumen

Contract management

Regulatory compliance

Cross-functional collaboration

Executive communication

Education

Bachelor's degree in Healthcare Administration, Business Administration, Finance

Master's degree in Healthcare Administration or MBA

Job description

Clayton Clinical is seeking a dynamic Vice President of Managed Care to lead our contracting strategy, strengthen payer partnerships, and maximize revenue opportunities across our healthcare network.

The role requires extensive experience in managed care contracting, payer relations, and provider network development, with a focus on strategic negotiations and financial performance. Join a growing organization committed to high-quality patient care and collaborative leadership.