Vice President of Managed Care Contracting

Job Description

As the Vice President of Managed Care Contracting, you will be responsible for the daily management and strategic direction of managed care contracting, and financial planning services. This critical role drives revenue optimization, fosters strong payer relationships, and ensures compliance while supporting Health Systems ongoing commitment to quality, safety, and efficiency in a value-based care environment. 

About The Health System

The Health System is the region’s only academic medical center and Level I Trauma Center, serving patients throughout Tennessee, Kentucky, and North Carolina. The organization is widely recognized for clinical excellence, innovation, education, research, and complex tertiary and quaternary care services.

Organizational Highlights

·       710+ bed academic medical center

·       More than 8,000 employees

·       Estimated annual economic impact exceeding $3.6 billion

·       Regional network of more than 30 locations

·       Region’s only dedicated Heart Hospital

·       Region’s only ACS-verified Level I Trauma Center

·       Comprehensive Stroke Center and regional referral destination

·       Robust multispecialty physician network and ambulatory footprint

Responsibilities

·       Develop and execute comprehensive contracting strategies while leading negotiations with managed care organizations and third-party payers to secure favorable terms and optimal reimbursement.

·       Build and maintain strong payer relationships to support long-term growth, collaboration, and strategic alignment.

·       Analyze and recommend participation in alternative payment models, monitor performance against financial and operational goals, and oversee payment audit processes including underpayment recovery and system-wide issue resolution in partnership with revenue cycle teams.

Qualifications & Competencies

·       Demonstrated expertise in managed care contracting, negotiations and financial analysis within healthcare systems.

·       Proven leadership in strategy development, team engagement, and performance optimization.

·       Strong analytical, problem-solving, and communication skills with the ability to influence executive stakeholders.

·       Commitment to quality, safety, efficiency, and service excellence.

·       Knowledge of value-based care models, alternative payment strategies, and revenue cycle operations.

·        Ability to meet physical requirements and foster a positive, collaborative work environment.

Experience Requirements

·       10+ years of managed care, value-based care, healthcare administration, or payer relations experience required.

·       10+ years of healthcare commercial payer strategies, pricing, reimbursement, and healthcare cost analysis required.

·       5+ years of experience in leading high performing, multidisciplinary teams.

·       Multispecialty practice operations experience required.

·       Fee-for-service and value-based care contracting experience required

·       Ability to develop relationships with high-level, decision-makers in the payer, third-party administrator, and specialty practice environments.

·       Demonstrates the ability to influence people, cultivate relationships, and collaborate cross-functionally.

Education Requirements

·       Bachelor’s Degree required ; Master’s in Business or Healthcare Administration preferred