Vice President, Payor Contracting
Healthcare Outcomes Performance Company (HOPCo) · hopco.com
PhoenixExecutive
Straight from the company’s own careers site.
The job in short
Payor contracting vice president.
Compliance
Details
- Found
- 6 d ago · posted 2026-10-29
- Location
- Phoenix, AZ
Full description
ESSENTIAL FUNCTIONS
• Develop and maintain positive, effective relationships with internal and external customers and serve as the contracting liaison between contracted Payors and providers.
• Lead contract analysis and negotiations with Payors on behalf of providers including rates, payment methodologies, contract language and value- based payment programs in accordance with internal control processes for contract review, approval and signature.
• Lead development of Payor reimbursement analyses that can be routinely updated and maintained as a baseline for strategies to maximize health plan reimbursement and ensure payment integrity.
• Research and make recommendations to executive leadership in regard to payor contracting opportunities in new and existing geographic service area.
• Ensure compliance in all business and contractual relationships
• Identify and communicate trends and/or potential issues to market leadership and HOPCo management team.
• Lead development of infrastructure and analysis for strategic projects including rate transparency, payment validation and coordination with Revenue Cycle Management, payor contracting strategy including value based care glidepath.
• Other duties and responsibilities as assigned.
The job holder must demonstrate current competencies for job position.
EDUCATION
• Bachelor’s Degree in Business, Mathematics, Finance or Healthcare Administration required.
EXPERIENCE
• Proven working knowledge of provider financial issues, complex contracting options, financial/contracting arrangements and regulatory requirements.
• 7-10 years related experience and comprehensive level of analytic and negotiating skills with successful track record supporting contract negotiations with payors.
• Strong communication, critical thinking, problem resolution and interpersonal skills.
• Solid understanding of industry dynamics required.
REQUIREMENTS
• Familiarity with managed care products and services, medical cost trend analysis, including analysis of physician contracts, utilization, and costs.
• Must have prior experience working with managed care contracting modeling.
• Familiar with a variety of concepts, practices, and procedures in the field of managed care.
• Must be able to problem solve and come forward with recommendations.
• Must be able to stay on task with minimal supervision.
• Excellent critical thinking, troubleshooting, and analytical skills.
KNOWLEDGE
• Knowledge of payor reimbursement.
• Managed care contracting.
• Market and industry knowledge.
SKILLS
• Strong verbal and written communication skills.
• Strong organizational skills and careful attention to detail.
• Advance computer skills.
ABILITIES
• Ability to analyze problems and interpret information.
• Able and to prioritize and reprioritize, as necessary.
• Ability to work independently, and as part of a team.
• Ability to multi-task, manages multiple projects, and meets tight deadlines.
ENVIRONMENTAL WORKING CONDITIONS
• Normal office environment or Remote. Some travel within community.
PHYSICAL/MENTAL DEMANDS
• Requires sitting and standing associated with a normal office environment.
• Some bending and stretching required.
• Manual dexterity using a calculator and computer keyboard.
ORGANIZATIONAL REQUIREMENTS
• HOPCo Mission, Vision and Values must be acknowledged and adhered to
• OSHA Requirements and training to include: *Safety Training
This description is intended to provide only basic guidelines for meeting job requirements. Responsibilities, knowledge, skills, abilities and working conditions may change as needs evolve.
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