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Senior Vice President – Managed Care
PAM Health. Lead enterprise managed care contracting strategy, including negotiation, rate optimization, and payor relationship management .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in managed care contracting strategy, including negotiation and reimbursement optimization, while ensuring compliance with regulatory requirements across multi-state operations. Proven ability to lead teams, build relationships with payors, and drive revenue improvement initiatives.
Highest-signal resume keywords
Managed Care Contracting StrategyContract NegotiationReimbursement OptimizationLeadership in Healthcare AdministrationRegulatory Compliance
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract AnalysisReimbursement MethodsPayor Relationship ManagementUtilization ReviewClaims ManagementFinancial Performance SupportRate OptimizationRevenue Cycle InitiativesProfessional Service ContractingMulti-State Operations
Soft Skills
Strategic PlanningEffective CommunicationTeam MotivationProblem SolvingStaff Development
Certifications & Qualifications
Bachelor’s Degree in Healthcare AdministrationMaster’s Degree (MBA, MHA, or Similar)
Industry Keywords
Post-Acute CareHospital SystemsHealthcare ServicesHealth PlansCMS RegulationsHealthcare LawsPayor PoliciesIRF SettingsLTAC SettingsOSHA Compliance
About the role
Key responsibilities & impact- Lead enterprise managed care contracting strategy, including negotiation, rate optimization, and payor relationship management
- Oversee the development, review, and execution of managed care agreements
- Collaborate with operations, finance, admissions, and revenue cycle teams to improve reimbursement, reduce denials, and optimize payor performance
- Provide strategic direction and leadership to the Managed Care team, including Regional Directors
- Build and maintain relationships with national, regional, and local payors
- Identify opportunities for growth, contract expansion, and revenue improvement across markets and service lines
- Partner with executive leadership to assess risks, trends, and opportunities in managed care and reimbursement
- Monitor industry changes, CMS regulations, healthcare laws, and payor policies
- Support financial performance through contract analysis, reimbursement strategies, and revenue cycle initiatives
- Ensure compliance with regulatory requirements and managed care contracts across multi-state operations
- Partner with Legal, Compliance, and Revenue Cycle to mitigate risk
- Promote inclusiveness, coach and develop staff, manage resources, solve problems, make decisions, plan strategically, communicate effectively, improve quality, motivate teams, and support professional development
- Maintain high customer service and promote PAM Health’s mission and vision
- Participate in OSHA-required training and follow health and safety procedures
Requirements
What you’ll need- Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required
- 10+ years of progressive leadership experience in managed care, payor contracting, Utilization Review, claims, or healthcare administration
- Significant experience within post-acute care, hospital systems, or healthcare services
- Experience in Professional Service contracting
- Experience working with Health Plans in a network contracting role or claim services is a plus
- Proven success in contract negotiation, payor strategy, and revenue optimization
- Expertise in reimbursement methods including per diems, episode pricing, capitation, O/P Fee Schedules, and RBRVS for professional services
- Experience within post-acute care, including IRF and LTAC settings, strongly preferred
- Experience working within multi-state healthcare organizations and understanding of varying regulatory and reimbursement environments
- Master’s degree (MBA, MHA, or similar) strongly preferred
Benefits
Comp & perks- Competitive pay
- Generous paid benefit time
- Excellent insurance options
- Professional growth opportunities through the Education Advancement Program