NorthStar Anesthesia
Vice President of Payer Contracting & Managed Care
NorthStar Anesthesia, Irving, Texas, United States, 75084
Role OverviewElevate your career in healthcare leadership as our Vice President of Payer Contracting & Managed Care. In this strategic and impactful role, you'll drive contracting initiatives to secure financially favorable agreements with health plans and managed care organizations. You will oversee the managed care contracting department, develop long-term strategies, and work closely with payers to foster positive relationships. Your expertise will directly influence the financial health and operational efficiency of our organization. If you have a deep understanding of payer regulations, excellent negotiation skills, and a passion for improving healthcare operations, this is the perfect opportunity for you!
The Vice President of Payer Contracting & Managed Care is responsible for leading the strategy, negotiation, and execution of managed care contracts. This role oversees the contracting team and ensures that all payer agreements align with the organization’s financial goals. The VP will develop strong relationships with payers, manage contract portfolios, and identify opportunities for revenue improvement, all while ensuring compliance with regulatory standards.
Key Responsibilities
Lead, mentor, and develop a team of managed care contracting professionals.
Formulate and execute a managed care strategy that aligns with the organization’s long-term vision.
Negotiate and manage a portfolio of new and existing payer contracts.
Design processes and protocols to ensure smooth contract implementation.
Conduct market rate analysis to ensure contract rates are competitive.
Build and maintain positive relationships with payers, resolving any issues that arise.
Develop and implement strategic plans to optimize payer contracts and drive revenue growth.
Analyze financial impacts of contracts and propose strategies for improvement.
Oversee the creation of data analytics tools to monitor contract performance and market trends.
Ensure compliance with relevant payer regulations and industry standards.
Administer out-of-network arbitration and dispute resolution processes to support long-term organizational goals.
Promote continuous process improvement across all managed care contracting functions.
Perform other duties as assigned.
Qualifications and Experience:
Education: Bachelor’s degree required. Master’s degree in healthcare or business administration preferred.
Experience: Minimum of 10+ years in payer contracting, revenue cycle management, or a related healthcare function.
Proven track record of successfully negotiating payer contracts with innovative strategies.
Experience working in payer contracting and contract modeling within a provider, hospital, or health system setting.
Skills:
Strong financial analysis and negotiation skills.
In-depth knowledge of the managed care regulatory environment.
Exceptional interpersonal and communication abilities, capable of working with a wide range of stakeholders.
Ability to manage multiple priorities in a fast-paced, dynamic environment.
Strategic thinker with a passion for driving operational improvements.
QualificationsWhy Join Us?
At NorthStar Anesthesia, we offer competitive benefits and a supportive environment where your career can thrive. We provide 4-5 weeks of paid time off, 11 paid holidays, annual HSA contributions, a 401(k) match, and more. Join a team that values your expertise and is committed to your growth!
We are committed to Diversity, Equity, and Inclusion. We understand that women and others from underrepresented minority groups may hesitate to apply unless they meet every qualification. We encourage you to apply, even if you don't meet all the criteria - your unique perspectives and experiences are valued here.
NorthStar is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. We are committed to having a workforce that celebrates diversity, equity, and inclusion.
We are an Affirmative Action Employer.
The Vice President of Payer Contracting & Managed Care is responsible for leading the strategy, negotiation, and execution of managed care contracts. This role oversees the contracting team and ensures that all payer agreements align with the organization’s financial goals. The VP will develop strong relationships with payers, manage contract portfolios, and identify opportunities for revenue improvement, all while ensuring compliance with regulatory standards.
Key Responsibilities
Lead, mentor, and develop a team of managed care contracting professionals.
Formulate and execute a managed care strategy that aligns with the organization’s long-term vision.
Negotiate and manage a portfolio of new and existing payer contracts.
Design processes and protocols to ensure smooth contract implementation.
Conduct market rate analysis to ensure contract rates are competitive.
Build and maintain positive relationships with payers, resolving any issues that arise.
Develop and implement strategic plans to optimize payer contracts and drive revenue growth.
Analyze financial impacts of contracts and propose strategies for improvement.
Oversee the creation of data analytics tools to monitor contract performance and market trends.
Ensure compliance with relevant payer regulations and industry standards.
Administer out-of-network arbitration and dispute resolution processes to support long-term organizational goals.
Promote continuous process improvement across all managed care contracting functions.
Perform other duties as assigned.
Qualifications and Experience:
Education: Bachelor’s degree required. Master’s degree in healthcare or business administration preferred.
Experience: Minimum of 10+ years in payer contracting, revenue cycle management, or a related healthcare function.
Proven track record of successfully negotiating payer contracts with innovative strategies.
Experience working in payer contracting and contract modeling within a provider, hospital, or health system setting.
Skills:
Strong financial analysis and negotiation skills.
In-depth knowledge of the managed care regulatory environment.
Exceptional interpersonal and communication abilities, capable of working with a wide range of stakeholders.
Ability to manage multiple priorities in a fast-paced, dynamic environment.
Strategic thinker with a passion for driving operational improvements.
QualificationsWhy Join Us?
At NorthStar Anesthesia, we offer competitive benefits and a supportive environment where your career can thrive. We provide 4-5 weeks of paid time off, 11 paid holidays, annual HSA contributions, a 401(k) match, and more. Join a team that values your expertise and is committed to your growth!
We are committed to Diversity, Equity, and Inclusion. We understand that women and others from underrepresented minority groups may hesitate to apply unless they meet every qualification. We encourage you to apply, even if you don't meet all the criteria - your unique perspectives and experiences are valued here.
NorthStar is an Equal Opportunity Employer. We do not discriminate on the basis of race, religion, color, sex, gender identity, sexual orientation, age, non-disqualifying physical or mental disability, national origin, veteran status, or any other basis covered by appropriate law. We are committed to having a workforce that celebrates diversity, equity, and inclusion.
We are an Affirmative Action Employer.