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Job description
Senior Vice President (SVP) of Managed Care | Specialty Healthcare Services
The Senior Vice President (SVP) of Managed Care is responsible for providing strategic leadership and oversight of the organization's managed care and payor engagement strategy across a multi-state network of Inpatient Rehabilitation Facilities (IRFs), Long-Term Acute Care Hospitals (LTACHs), outpatient programs, home health agencies, physician enterprises, and behavioral health hospitals.
Clinical Magnet , a division of ICON Medical Network, is looking for a compassionate, dedicated Senior Vice President to join our partner's full-time team in Enola, Pennsylvania . This executive leads enterprise-wide contracting, reimbursement optimization, and payor partnerships while developing scalable managed care strategies that support organizational growth, regulatory compliance, patient access, operational performance, and financial success.
The SVP collaborates closely with Executive Leadership, Operations, Finance, Revenue Cycle, Clinical Leadership, and Admissions to align managed care initiatives with the organization's strategic objectives.
This is a DIRECT HIRE opportunity!
The SVP provides leadership to the Managed Care team, including Regional Directors of Managed Care, and is responsible for directing departmental priorities, contract negotiations, and implementation of managed care policies across the organization. This role oversees relationships with Commercial, Medicare Advantage, Managed Medicaid, ACA Exchange, Medicare ACO, TRICARE, VA Community Care Network (VA CCN), Workers' Compensation, and other governmental payors, while also leading value-based care initiatives and Supplemental Directed Payment Programs (DPP) across the organization's 17-state footprint.
This position reports directly to the Senior Executive Vice President, Chief Government Relations Officer & Senior Executive Advisor.
Responsibilities
Lead enterprise managed care contracting strategy, including negotiation, rate optimization, and payor relationship management across commercial, government, and value-based programs.
Oversee development, review, and execution of managed care agreements, ensuring alignment with organizational, financial, and regulatory objectives
Collaborate with operations, finance, admissions, and revenue cycle teams to improve reimbursement, reduce denials, and optimize payor performance
Provide strategic direction and leadership to managed care team, including Regional Directors, ensuring effective execution of priorities and initiatives
Build and maintain relationships with national, regional, and local payors to expand market access and strengthen partnerships
Identify opportunities for growth, contract expansion, and revenue improvement across new and existing markets and service lines
Partner with executive leadership to assess risks, trends, and opportunities in managed care and reimbursement environments
Monitor industry changes, CMS regulations, and payor policies to ensure compliance and informed strategic decision-making
Support financial performance through contract analysis, reimbursement strategies, and collaboration on revenue cycle initiatives
Ensure compliance with regulatory requirements and managed care contracts
Monitor CMS, healthcare laws, and reimbursement changes
Oversee adherence to contract terms across multi-state operations
Partner with Legal, Compliance, and Revenue Cycle to mitigate risk
Qualifications
Education and Training: Bachelor's degree in Healthcare Administration, Business, Finance, or related field required. Master's degree (MBA, MHA, or similar) strongly preferred
Experience:
10+ years of progressive leadership experience in managed care, payor contracting, Utilization Review, or claims or healthcare administration
Significant experience within post-acute care, hospital systems, or healthcare services as well as Professional Service contracting
Experience in working with Health Plans in network contracting role or claim services a distinct plus
Proven success in contract negotiation, payor strategy, and revenue optimization
Expertise in all forms of reimbursement such as per diems, episode pricing, capitation, O/P Fee Schedules, RBRVS for professional services
Knowledge, Skills, and Abilities:
10+ years of progressive leadership experience in managed care, payor contracting, or healthcare administration
Significant experience within post-acute care, including IRF and LTAC settings strongly preferred
Experience working within multi-state healthcare organizations with an understanding of varying regulatory and reimbursement environments
Keywords: Senior Vice President of Managed Care, Managed Care, Payer Engagement, Payer Relations, Healthcare Contracting, Management, Networking, Reimbursement Strategy, Revenue Optimization, Revenue Cycle, Claims, Utilization Review, Utilization Management
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Worksite address
enola, PA, 17025, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.