Senior Vice President (SVP) of Managed Care | PAM Health Corporate
for each section heading. Use - for any list of duties/requirements/benefits. Use
for prose.
We must preserve all substantive information, not invent or summarize away detail. Must not repeat job title. Must not include boilerplate like EEO etc. There's none.
We need to strip duplicated lines. There's some duplication: "Education and Training: Bachelor’s degree..." and later "Knowledge, Skills, And Abilities 10+ years of progressive leadership experience..." which repeats experience. We need to keep all substantive info but avoid duplication? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." So we should keep everything, even if duplicated? But also "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines". So we should remove duplicated lines. So if a line appears exactly twice, we should keep only one occurrence. Need to identify duplicates.
Let's extract content.
Full text:
"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
II. Leadership 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 employees and all customers; actively listens; clearly and effectively shares information; demonstrates effective oral and written communication skills; negotiates effectively.
Quality Improvement: Strives for efficient, effective, high-quality performance in self and in the department; delivers timely and accurate results; resilient when responding to matters that are challenging; takes initiative to make improvements
Leadership: Motivates others; accepts responsibility; maintains high morale in department; develops trust and credibility; expects honest and ethical behavior of self and staff
Teamwork: Encourages cooperation and collaboration; builds effective teams; works in partnership with others; is flexible; responsive to the needs of others
Development: Maintains up-to-date skills through involvement with professional organizations and/or continuing education
II. Customer Service Maintains the highest level of customer service via courtesy, compassion and positive communication. Promotes the mission and vision of PAM Health within the work environment and the community. Respects dignity and confidentiality by adherence to all applicable policies and procedures.
III. Health and Safety Works in a manner that promotes safety; wears clothing appropriate to the performance of the job. Participates in OSHA required training. Follows universal precautions as appropriate for position; complies with Employee Health requirements for continued employment. Reports unsafe practices to management. Knows own role in case of an emergency.
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"
We need to remove duplicated lines. Let's see duplicates:
- "10+ years of progressive leadership experience in managed care, payor contracting, or healthcare administration" appears in Experience line and Knowledge, Skills, And Abilities line. Slight variation: Experience line: "Experience 10+ years of progressive leadership experience in managed care, payor contracting, Utilization Review, or claims or healthcare administration". Knowledge line: "Knowledge, Skills, And Abilities 10+ years of progressive leadership experience in managed care, payor contracting, or healthcare administration". Not exact duplicate but similar. We'll keep both? The instruction says remove duplicated lines. Since not exact, we keep both.
- "Significant experience within post-acute care, hospital systems, or healthcare services as well as Professional Service contracting" appears only once.
- "Significant experience within post-acute care, including IRF and LTAC settings strongly preferred" appears only in Knowledge line.
- "Experience working within multi-state healthcare organizations with an understanding of varying regulatory and reimbursement environments" appears only once.
- "Proven success in contract negotiation, payor strategy, and revenue optimization" appears once.
- "Expertise in all forms of reimbursement such as per diems, episode pricing, capitation, O/P Fee Schedules, RBRVS for professional services" appears once.
- "Education and Training: Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required. Master’s degree (MBA, MHA, or similar) strongly preferred" appears once.
Now we need to structure.
About the role: first paragraph up to "This position reports directly to the Senior Executive Vice President, Chief Government Relations Officer & Senior Executive Advisor."
Responsibilities: the bullet list after that (starting with "Lead enterprise managed care contracting strategy...") each line is a responsibility.
Requirements: maybe education and experience? Could be "Education and Training" and "Experience". We'll put under Requirements.
Qualifications: maybe the "Knowledge, Skills, And Abilities" section? But we also have Skills heading. We need to decide.
We have headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule.
We can map:
- About the role: intro paragraph.
- Responsibilities: the list of duties.
- Requirements: Education and Training + Experience lines (maybe combine).
- Qualifications: maybe the leadership competencies? But those are more like skills/behaviors. Could be Qualifications.
- Skills: the Knowledge, Skills, And Abilities bullet points.
But we have overlapping. Let's think: The posting includes "Education and Training", "Experience", then "Knowledge, Skills, And Abilities". Also includes leadership behaviors (II. Leadership Inclusiveness etc.) and Customer Service, Health and Safety. Those could be considered Qualifications or Skills.
We need to avoid thin sections. Perhaps combine leadership behaviors and customer service and health safety into a "Qualifications" section as they are expected behaviors.
But we must preserve all substantive info. So we need to include those bullet points somewhere.
Let's create sections:
About the role
...intro...
Responsibilities
- ...each responsibility line...
Requirements
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
for prose. We must preserve all substantive information, not invent or summarize away detail. Must not repeat job title. Must not include boilerplate like EEO etc. There's none. We need to strip duplicated lines. There's some duplication: "Education and Training: Bachelor’s degree..." and later "Knowledge, Skills, And Abilities 10+ years of progressive leadership experience..." which repeats experience. We need to keep all substantive info but avoid duplication? The instruction: "Preserve ALL substantive information; do NOT invent or summarize away detail." So we should keep everything, even if duplicated? But also "Remove cookie/navigation/legal/EEO/equal-opportunity/scam-warning boilerplate, duplicated lines". So we should remove duplicated lines. So if a line appears exactly twice, we should keep only one occurrence. Need to identify duplicates. Let's extract content. Full text: "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 II. Leadership 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 employees and all customers; actively listens; clearly and effectively shares information; demonstrates effective oral and written communication skills; negotiates effectively. Quality Improvement: Strives for efficient, effective, high-quality performance in self and in the department; delivers timely and accurate results; resilient when responding to matters that are challenging; takes initiative to make improvements Leadership: Motivates others; accepts responsibility; maintains high morale in department; develops trust and credibility; expects honest and ethical behavior of self and staff Teamwork: Encourages cooperation and collaboration; builds effective teams; works in partnership with others; is flexible; responsive to the needs of others Development: Maintains up-to-date skills through involvement with professional organizations and/or continuing education II. Customer Service Maintains the highest level of customer service via courtesy, compassion and positive communication. Promotes the mission and vision of PAM Health within the work environment and the community. Respects dignity and confidentiality by adherence to all applicable policies and procedures. III. Health and Safety Works in a manner that promotes safety; wears clothing appropriate to the performance of the job. Participates in OSHA required training. Follows universal precautions as appropriate for position; complies with Employee Health requirements for continued employment. Reports unsafe practices to management. Knows own role in case of an emergency. 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" We need to remove duplicated lines. Let's see duplicates: - "10+ years of progressive leadership experience in managed care, payor contracting, or healthcare administration" appears in Experience line and Knowledge, Skills, And Abilities line. Slight variation: Experience line: "Experience 10+ years of progressive leadership experience in managed care, payor contracting, Utilization Review, or claims or healthcare administration". Knowledge line: "Knowledge, Skills, And Abilities 10+ years of progressive leadership experience in managed care, payor contracting, or healthcare administration". Not exact duplicate but similar. We'll keep both? The instruction says remove duplicated lines. Since not exact, we keep both. - "Significant experience within post-acute care, hospital systems, or healthcare services as well as Professional Service contracting" appears only once. - "Significant experience within post-acute care, including IRF and LTAC settings strongly preferred" appears only in Knowledge line. - "Experience working within multi-state healthcare organizations with an understanding of varying regulatory and reimbursement environments" appears only once. - "Proven success in contract negotiation, payor strategy, and revenue optimization" appears once. - "Expertise in all forms of reimbursement such as per diems, episode pricing, capitation, O/P Fee Schedules, RBRVS for professional services" appears once. - "Education and Training: Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required. Master’s degree (MBA, MHA, or similar) strongly preferred" appears once. Now we need to structure. About the role: first paragraph up to "This position reports directly to the Senior Executive Vice President, Chief Government Relations Officer & Senior Executive Advisor." Responsibilities: the bullet list after that (starting with "Lead enterprise managed care contracting strategy...") each line is a responsibility. Requirements: maybe education and experience? Could be "Education and Training" and "Experience". We'll put under Requirements. Qualifications: maybe the "Knowledge, Skills, And Abilities" section? But we also have Skills heading. We need to decide. We have headings: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can map: - About the role: intro paragraph. - Responsibilities: the list of duties. - Requirements: Education and Training + Experience lines (maybe combine). - Qualifications: maybe the leadership competencies? But those are more like skills/behaviors. Could be Qualifications. - Skills: the Knowledge, Skills, And Abilities bullet points. But we have overlapping. Let's think: The posting includes "Education and Training", "Experience", then "Knowledge, Skills, And Abilities". Also includes leadership behaviors (II. Leadership Inclusiveness etc.) and Customer Service, Health and Safety. Those could be considered Qualifications or Skills. We need to avoid thin sections. Perhaps combine leadership behaviors and customer service and health safety into a "Qualifications" section as they are expected behaviors. But we must preserve all substantive info. So we need to include those bullet points somewhere. Let's create sections:
About the role
...intro...
Responsibilities
- ...each responsibility line...
Requirements
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