Vice President of Managed Care

Job description

The Vice President of Managed Care is responsible for developing, leading and optimizing managed care strategies. This role ensures the organization optimizes reimbursement from payers, maintains strong relationships with payers and manages related administrative issues, including payer credentialing. The Vice President of Managed Care works closely with executive leadership, clinical leadership, revenue cycle management, value-based care, and risk management to negotiate contracts, support day-to-day business operations, and drive strategic initiatives. Primary Finance Job Responsibilities/Tasks may include, but not limited to: - Strategy Development: design and implement managed care strategies that support the organization's financial and clinical objectives. - Contract Negotiation: lead negotiations with insurance companies and other third-party payers to secure beneficial reimbursement rates and terms. - Relationship Management: build and maintain strong partnerships with payers and other stakeholders - Monitoring: monitor industry trends and regulatory changes to inform business decisions and adapt strategies. - Financial Oversight: work with finance and RCM teams to analyze...