Vice President of Managed Care Contracting
$200,000–$250,000 year
On-siteThe Bronx, New York, United States
Job Summary
Develop and execute provider network strategies, including planning for expansion, evaluating network adequacy, and aligning contracting with value-based care and health equity goals. Negotiate and manage contracts with hospitals and physician groups, overseeing the full process from outreach to termination while ensuring regulatory compliance. Build and maintain a high-performing outpatient network by analyzing market trends, competitor data, and reimbursement patterns to optimize payer relationships and patient access. Lead a team of contracting professionals, coordinate with credentialing and data management departments, and implement value-based payment models that support outpatient growth and cost-efficiency.
Required Qualifications
- Master's degree or equivalent experience in healthcare administration, business administration, or a related field
- Strong knowledge of Provider Relations policies and procedures
- 8+ years of experience in the healthcare or managed care industry
- Strong negotiation and communication skills
- Knowledge of healthcare regulations and compliance requirements
- Understanding of value-based payment models
- Ability to analyze data and make informed decisions
- Required to lead and manage a team of contracting professionals and other related staff
- Ability to function effectively within an ever-changing environment to meet deadlines and reprioritize as necessary
- Work requires a professional level of knowledge in health care administration, finance and clinical operations
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