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Vice President (VP) of Managed Care at Stance Health Solutions

Irvine, California, United States -

Full Time

Start Date

Immediate

Expiry Date

04 Mar, 26

Salary

0.0

Posted On

04 Dec, 25

Experience

10 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Operational Policy Development, Managed Care Management, Negotiation Skills, Contract Management, Insurance Regulations, Strategic Planning, Analytical Abilities, Leadership Skills, Team Management, Communication Skills, Interpersonal Skills, Financial Acumen, Budget Management

Industry

Hospitals and Health Care

Description

Description Position Overview Plans and directs all aspects of an organization's managed care function. The VP Managed Care is responsible for developing, negotiating, and managing managed care contracts and relationships to optimize reimbursement, ensure compliance, and support the organization's strategic objectives within the insurance sector. Key Responsibilities Responsible for directing and implementing managed care systems for healthcare facilities. Lead the negotiation and administration of managed care contracts with payors and providers. Develop and implement strategies to maximize reimbursement and minimize financial risk. Monitor contract performance and ensure compliance with regulatory requirements. Collaborate with executive leadership to align managed care initiatives with organizational goals. Analyze market trends and payor performance to inform decision making. Establish and maintain strong relationships with external partners and stakeholders. Competencies/Skills Operational Policy Development Managed Care Management Strong negotiation and contract management skills In-depth knowledge of managed care and insurance regulations Strategic planning and analytical abilities Excellent leadership and team management skills Effective communication and interpersonal skills Financial acumen and budget management Experience Minimum of 10 years of experience in managed care, insurance, or healthcare administration, with at least 5 years in a leadership or executive role. Bachelor’s Degree or equivalent experience. Durable medical equipment (DME) environment PLUS. Requirements California Resident recent experience working in CA managed care

Responsibilities

The VP of Managed Care plans and directs all aspects of the organization's managed care function. This includes developing, negotiating, and managing managed care contracts and relationships to optimize reimbursement and ensure compliance.