The Regional Vice President, Managed Care will develops and implement the managed care strategies for the organization. Develops and implements alignment models such as pay for performance, bundled payments and various forms of risk contracting. Negotiates and administers contracts with managed care payers. Responsible for planning, evaluating, and implementing the various managed care programs through the negotiation of contracts with various Managed Care companies.

Regional Executive will be responsible for contracts in the NJ, PA, and RI markets, and may lend to support other regions based on business needs.

Key Responsibilities & Duties:

• Assesses and structures rate reimbursement levels for Managed Care Contracts.
• Develops relationships with Governmental Agencies and Managed Care Entities.
• Reviews, monitors, and disseminates changes with regard to Managed Care plan policy and provider manual changes.
• Negotiates Medicaid Contracts and Supplemental Funding.
• Assists Finance Department in projects assigned and disproportionate share.

This role is required at a Prime facility within New Jersey. Remote is not offered.

Required qualifications:

Preferred qualifications:

Prime Healthcare offers competitive compensation and a comprehensive benefits package that provides employees the flexibility to tailor benefits according to their individual needs. Our Total Rewards package includes, but is not limited to, paid time off, a 401K retirement plan, medical, dental, and vision coverage, tuition reimbursement, and many more voluntary benefit options. A reasonable compensation estimate for this role, which includes estimated wages, benefits, and other forms of compensation, is $136,656.00 to $250,000.00 on an annualized basis. The exact starting compensation to be offered will be determined at the time of selecting an applicant for hire, in which a wide range of factors will be considered, including but not limited to, skillset, years of applicable experience, education, credentials and licensure.