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University Health KC · 1 day ago

Vice President of Managed Care

Kansas City, MO

Full-time

Onsite

Director/Executive

7+ years exp

University Health KC is a healthcare organization seeking a Vice President of Managed Care who will be a key member of the executive leadership team. This role is responsible for driving managed care strategy, operations, and performance improvement to ensure financial sustainability and quality patient access through effective contract negotiations and payer engagement.

Health CareHospitalMedicalRehabilitation

Responsibilities

Develop and implement innovative short- and long-term strategies to optimize managed care operations and financial performance

Oversee budgeting, staffing, and resource allocation for the Managed Care department

Analyze financial and utilization data to identify inefficiencies and drive process improvements

Ensure strategies align with the hospital’s mission, vision, and business objectives

Lead high-impact contract negotiations with managed care organizations to secure favorable terms

Identify and evaluate new payer opportunities, including Medicaid expansion and exchange plans

Partner with legal, actuarial, and consulting experts to support data-informed negotiation and risk assessment

Ensure strong contractual language that enforces accountability, compliance, and revenue protection

Oversee auditing, performance monitoring, and compliance of managed care contracts

Direct reporting and analysis to identify underpayments, discrepancies, and revenue recovery opportunities

Evaluate reimbursement models and payment terms for continuous improvement

Resolve disputes with payers and ensure adherence to federal, state, and internal compliance standards

Recruit, develop, and manage Managed Care staff, ensuring high performance and accountability

Conduct regular performance reviews, team meetings, and professional development planning

Ensure all licensures, certifications, and registries are current and properly verified

Collaborate with executive and clinical leaders to align managed care strategy with organizational and clinical goals

Work with physicians, administrators, and external partners to optimize managed care performance

Support initiatives tied to 340B programs, value-based care, and payer collaboration

Partner with leadership to develop robust information systems that support contract management and analytics

Oversee system upgrades and vendor relationships to ensure accuracy, compliance, and efficiency

Maintain expert-level knowledge of managed care regulations and ensure compliance with all applicable laws and standards

Model organizational values by promoting quality improvement, patient safety, and cultural diversity

Uphold the Code of Conduct and actively participate in compliance and training initiatives

Qualification

Managed care expertiseContract negotiationsFinancial analysisRegulatory knowledgeLeadership experienceCompliance knowledgeInterpersonal skillsCommunication skillsProblem-solving skillsTeam management