VP, Managed Care & Payer Strategy

Laurel Health Care Company; Westerville (OH); Sur place; USD 180 000 - 260 000; Plein temps

Avantages offerts par ce poste

Competitive pay

Medical, dental, and vision insurance

401K with matching funds

Life Insurance

Tuition Reimbursement

Résumé du poste

Laurel Health Care Company seeks a strategic executive to lead managed care and payer relations, overseeing contracts, reimbursement strategies, and network expansion across its nursing and post-acute facilities. The role drives revenue growth and financial stability through effective payer management.

The VP collaborators with finance and operations to optimize terms, monitor performance, and ensure regulatory alignment while building strong relationships with payers and provider networks

Qualifications

• Bachelor's degree in healthcare administration, business, finance, or related field; advanced degree preferred.
• Over 10 years in managed care contracting, payer relations, or healthcare finance with leadership experience.
• Deep knowledge of payer contracting, reimbursement methodologies, and healthcare regulations.
• Experience in post-acute or long-term care is preferred.

Responsabilités

• Lead payer contracting and negotiations with managed care organizations and third-party payers.
• Develop strategies to secure favorable reimbursement terms and expand payer network participation.
• Collaborate with Finance and Operations to analyze reimbursement models and forecast revenue impacts.
• Monitor contract compliance, payment accuracy, and resolve underpayments and disputes.
• Develop reports and dashboards to track payer mix, revenue performance, and contract outcomes.
• Provide strategic guidance to executive leadership on payer trends and market opportunities.
• Educate facility leadership and staff on the reimbursement matrix of each contract.

Connaissances

Leadership

Payer negotiations

Contract management

Strategic planning

Financial modeling

Relationship management

Cross-functional collaboration

Formation

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

Master's degree (preferred)

Description du poste

Laurel Health Care Company seeks a strategic executive to lead managed care and payer relations, overseeing contracts, reimbursement strategies, and network expansion across its nursing and post-acute facilities. The role drives revenue growth and financial stability through effective payer management.

The VP collaborators with finance and operations to optimize terms, monitor performance, and ensure regulatory alignment while building strong relationships with payers and provider networks