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Healthcare Contracting Jobs in California (NOW HIRING)

HENRY MAYO NEWHALL MEMORIAL HOSPITAL

Women's imaging and breast health services * Emergency and trauma care * Cardiac rehabilitation and ... Job Summary The Director of Managed Care Contracting provides strategic leadership for the hospital ...

Washington Hospital

Director, Managed Care

Fremont, CA

$196K - $294K/yr

Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director, Managed Care ...

Washington Hospital

Director, Managed Care

Fremont, CA · On-site

$196K - $294K/yr

Description Salary Range: $196,000.00 - $294,000.00 Washington Hospital Healthcare System Job Code: 714 The Director, Managed Care Contracting, contributes to WHHS' growth Job Title: Director ...

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Healthcare Contracting information

What is healthcare contracting?

A Healthcare Contracting job involves negotiating, managing, and overseeing agreements between healthcare providers, insurance companies, and other healthcare entities. Professionals in this role ensure contracts comply with regulations, support cost-effective care, and align with organizational goals. They analyze pricing structures, monitor contract performance, and facilitate relationships between stakeholders. This position requires strong analytical, negotiation, and communication skills to navigate the complexities of healthcare agreements.

What are some common challenges faced in healthcare contracting?

One of the main challenges in Healthcare Contracting is navigating the evolving landscape of healthcare regulations and payer requirements, which can make crafting compliant and mutually beneficial agreements complex. Professionals often work with multiple departments and external partners, requiring excellent communication and negotiation skills to address diverse stakeholder interests. Managing deadlines, ensuring contract accuracy, and staying updated on legal changes are daily aspects of the job. Successfully handling these challenges helps organizations maintain strong provider relationships, optimize revenue, and avoid costly compliance issues.

What are the key skills and qualifications needed to thrive in healthcare contracting?

To excel in Healthcare Contracting, candidates typically need a solid understanding of healthcare regulations, contract negotiation, and legal compliance, often supported by a degree in business, healthcare administration, or a related field. Familiarity with contract management software, database systems, and knowledge of government healthcare programs like Medicare and Medicaid are frequently required, and certifications such as Certified Professional in Healthcare Management (CPHM) are advantageous. Strong analytical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These competencies ensure contracts are legally sound, financially beneficial, and align with organizational objectives in a complex regulatory environment.

What are popular job titles related to Healthcare Contracting jobs in California?

For Healthcare Contracting jobs in California, the most frequently searched job titles are:

What job categories do people searching Healthcare Contracting jobs in California look for?

The top searched job categories for Healthcare Contracting jobs in California are:

What cities in California are hiring for Healthcare Contracting jobs?

Cities in California with the most Healthcare Contracting job openings:

Healthcare Contracting jobs near you
Infographic showing various Healthcare Contracting job openings in California as of August 2026, with employment types broken down into 1% Locum Tenens, 2% As Needed, 68% Full Time, 17% Part Time, and 12% Contract. Highlights an 95% Physical, 1% Hybrid, and 4% Remote job distribution.

VP Managed Care Contracting & Payor Strategy

KPC GLOBAL MEDICAL CENTERS INC.

Corona, CA • On-site

Full-time

Posted 6 days ago

Job description


Job Title: VP Managed Care Contracting and Payor Strategy

Location: California (specific location within the multi-hospital system to be determined)

Department:  Finance  

Reports To:  Chief Financial Officer (CFO)  

Location:  Corporate HQ, Corona, CA

FLSA Status: Exempt  

Company: KPC HQ

SUMMARY

The VP Managed Care Contracting and Payor Strategy will be responsible for leading the development and execution of managed care contracting strategies and payor relationships for a multi-hospital system in California. This individual will report to the CFO and work closely with senior leadership, finance, legal, and operational teams to negotiate favorable contract terms with payors, drive revenue growth, and improve financial performance. The VP Managed Care Contracting and Payor Strategy will play a critical role in driving revenue growth and financial performance for the multi-hospital system in California. This individual will lead the development and execution of managed care contracting strategies, negotiate favorable contract terms with payors, and build and maintain strong relationships with key stakeholders. The ideal candidate will have a strong background in healthcare finance, reimbursement models, and payor strategy, as well as proven leadership experience. 

REQUIREMENTS

  • Bachelor's degree in healthcare administration, business, finance, or related field required. Master's degree preferred.
  • Minimum of 10 years of experience in managed care contracting, payor strategy, or related field.
  • Minimum of 5 years in a leadership role.
  • Demonstrated success in negotiating and executing managed care contracts with payors.
  • Strong understanding of healthcare finance, reimbursement models, and regulatory requirements.
  • Excellent communication, negotiation, and relationship-building skills.
  • Ability to work effectively with cross-functional teams and senior leadership.
  • Proven leadership experience, with the ability to motivate and develop a team of professionals.
  • Knowledge of California healthcare market and payor landscape preferred.

Key Competencies: 

  • Deep understanding of CA managed care contracting and relationships including IPA’s; capitation/risk, safety net services and commercial managed care contracting
  • Strategic Thinking
  • Financial Acumen
  • Risk Management
  • Problem Solving
  • Effective Communication
  • Team Leadership

DUTIES AND RESPONSIBILITIES

  • Develop and implement a comprehensive managed care contracting strategy to drive revenue growth and financial performance for the multi-hospital system.
  • Lead negotiations with payors to secure favorable contract terms, rates, and reimbursement structures.
  • Build and maintain strong relationships with payors to ensure successful contract negotiations and ongoing collaboration.
  • Monitor and analyze market trends, payor policies, and reimbursement rates to identify opportunities for improved financial performance.
  • Collaborate with internal stakeholders, including finance, legal, and operational teams, to develop and implement strategies to optimize managed care contracts and payor relationships.
  • Provide leadership and guidance to a team of managed care contracting professionals to ensure successful contract negotiations and execution.
  • Oversee the development of contract performance metrics and reporting to track progress and identify areas for improvement.
  • Serve as a subject matter expert on managed care contracting and payor strategy, providing guidance and support to senior leadership and other stakeholders.
  • Stay current on industry trends, regulations, and best practices related to managed care contracting and payor strategy.
  • Represent the multi-hospital system in negotiations with payors, industry events, and other relevant forums to promote the organization's interests and objectives.


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About KPC Health

Sourced by ZipRecruiter

KPC Health has an integrated approach to serving the people of Riverside, San Bernardino and Orange County. Our acute care medical centers provide high quality, comprehensive and affordable healthcare for the entire family. For us, healthcare is not just about caring for our patients, but also about investing in the people throughout our communities. We are one team with one mission and that mission is for all our patients, and their families to Enjoy Life in Great Health.

Industry

Health care and social assistance

Company size

201 - 500 Employees

Headquarters location

Santa Ana, CA, US

Year founded

2004

Social media

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