VP, Payer Strategy & Managed Care

Yoso Recruiting; Boynton Beach (FL); On-site; USD 180,000 - 340,000; Full time

Job summary

Yoso Recruiting seeks a Vice President of Managed Care & Payer Contracting to lead the national payer strategy for a rapidly growing behavioral health organization, based in South Florida with 30–40% travel.

You will drive OON to INN transitions, negotiate with commercial, Medicaid MCO, and Medicare Advantage payers, and build scalable contracting models across multiple states. Applicants should have 10+ years in managed care contracting and strong financial pro formas.

Qualifications

• 10+ years of managed care contracting experience, including 5+ years leading negotiations with commercial payers.
• Significant behavioral health contracting experience across SUD and mental health services.
• Proven success converting OON to INN or establishing network participation for a multi-site provider.
• Multi-state payer contracting experience, familiar with Medicaid MCO environments.
• Strong knowledge of reimbursement methodologies, utilization review, prior authorization, and parity requirements.
• Bachelor’s degree in Business/Finance/Healthcare Administration; MBA/MHA/JD preferred.

Responsibilities

• Develop a national payer contracting strategy across state lines, prioritizing key payer opportunities.
• Lead payer negotiations from strategy through execution, including rates and terms.
• Drive the organization’s OON to INN transition balancing access and reimbursement.
• Build financial models analyzing payor scenarios, volume, and net revenue by care level.
• Evaluate payer opportunities in new markets to support national expansion.
• Partner with Revenue Cycle, Operations, Clinical, Admissions, Marketing, and Legal.
• Monitor contract performance and payer relationships with executive-facing KPIs.
• Lead and develop the contracting function and primary payer relationships.

Skills

Payer contracting

Negotiation leadership

Financial modeling

Behavioral health contracts

Multi-state contracting

Education

Bachelor's degree in Business/Finance/Healthcare Administration

MBA/MHA/JD preferred

Job description

Yoso Recruiting seeks a Vice President of Managed Care & Payer Contracting to lead the national payer strategy for a rapidly growing behavioral health organization, based in South Florida with 30–40% travel.

You will drive OON to INN transitions, negotiate with commercial, Medicaid MCO, and Medicare Advantage payers, and build scalable contracting models across multiple states. Applicants should have 10+ years in managed care contracting and strong financial pro formas.