Vice President of Managed Care | Corporate

Overview

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. 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.

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
.

• 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

• Inclusiveness:
  Promotes cooperation, fairness and equity; shows respect for people and their differences; works to understand perspectives of others; demonstrates empathy; brings out the best in others and in his/her team
• Managing Staff:
  Coaches, evaluates, develops, and inspires staff; sets expectations; recognizes achievements
• Stewardship and Resource Management:
  Demonstrates accountability and sound judgment in managing company resources; appropriate understanding of confidentiality and company values; adheres to and supports company policies, procedures and safety guidelines
• Problem-Solving:
  Identifies problems and involves others in seeking solutions; conducts appropriate analysis and searches for best solutions; effectively and efficiently implements appropriate responses to correct problems; responds promptly and effectively to new challenges
• Decision-Making:
  Makes clear, consistent decisions; acts with integrity in all decisions; distinguishes relevant from irrelevant information; makes timely, appropriate decisions.
• Strategic Planning and Organizing:
  Understands company vision and aligns priorities accordingly; measures outcomes; uses feedback to redirect as required; evaluates alternatives; appropriately organizes complex issues to desirable resolution
• Communication:
  Connects with peers, subordinate…