Senior Vice President - Managed Care

This is a remote position but hybrid at one of our office locations would be preferred.

POSITIONS SUPERVISED: Medical Management, Bill Review, Pharmacy Benefit Management (PBM), Ancillary Services, and other Managed Care operational leaders

POSITION SUMMARY

The Senior Vice President of Managed Care provides executive leadership and strategic direction for all Managed Care operations. As a member of the Executive Leadership Team, this role develops and executes strategies that drive operational excellence, enhance client outcomes, improve financial performance, and support sustainable organizational growth. The SVP is responsible for the overall leadership and performance of the Managed Care division, including oversight of managed care programs, operational performance, quality initiatives, regulatory compliance, and vendor partnerships. This position ensures the delivery of innovative, cost-effective, and high-quality managed care solutions while maintaining alignment with the Company's strategic objectives and commitment to exceptional client service. Working collaboratively with executive leadership, the SVP shapes long-term business strategy, identifies opportunities for innovation and operational improvement, and implements initiatives that maximize profitability, improve efficiency, and deliver measurable value to clients. The role also oversees strategic vendor relationships, ensuring service quality, contractual compliance, and cost-effectiveness while supporting the Company's continued growth and competitive position within the industry.

DUTIES AND RESPONSIBILITIES

• Develop and execute the strategic vision for the Managed Care division, ensuring alignment with Company objectives, long-term growth plans, and profitability goals.
• Provide executive leadership and operational oversight for Managed Care functions, including Medical Management, Bill Review, Pharmacy Benefit Management (PBM), Ancillary Services, Provider Net