Vice President (VP) of Managed Care

12/4/2025

The VP of Managed Care plans and directs all aspects of the organization's managed care function. This includes developing, negotiating, and managing managed care contracts and relationships to optimize reimbursement and ensure compliance.

Working Hours

40 hours/week

Company Size

501-1,000 employees

Language

English

Visa Sponsorship

About The Company

Stance Health Solutions is a patient-centric healthcare company that enables our customers to live comfortably at home by providing reliable services and innovative solutions for every stage and every age. Stance Health Solutions is the result of two great companies coming together under one new name. Both Western Drug Medical Supply and SG Homecare were built as local, family-owned and operated companies. Through the merger, we are united and have strengthened our ability to provide comprehensive and exceptional patient care across all product lines through one team. Together, the combined expertise and commitment to exceptional service results in a powerful partnership that stands as one comprehensive, trusted resource for the quality delivery of care and support to patients and providers. With over 70 years of combined trusted partnerships in the California healthcare market, we now currently manage dozens of capitated agreements providing coverage for million of patient members. We continue to develop relationships within this connected health ecosystem to establish a comprehensive network of excellence. Our specialist expertise in a range of health solutions – now further strengthened as companion businesses – enables us to prioritize patient safety in every decision we make. This includes a commitment to curating quality, reliable and cost-effective supplies from leading vendors, following rigorous quality control and adhering to industry standards and certifications. We are proud to deliver comprehensive solutions across many DMEOP & Medical Supply categories. We are proud to have an established geographic footprint that positions us to quickly service any California patient. With our two main facilities located in Glendale and Tustin, we also operate through our network of distribution centers across the state including San Bernardino, Fresno, Los Angeles, Bakersfield, Orange, Riverside, San Joaquin, Sacramento, and more.

About the Role

Description

Position Overview

Plans and directs all aspects of an organization's managed care function. The VP Managed Care is responsible for developing, negotiating, and managing managed care contracts and relationships to optimize reimbursement, ensure compliance, and support the organization's strategic objectives within the insurance sector.

Key Responsibilities

Responsible for directing and implementing managed care systems for healthcare facilities.
Lead the negotiation and administration of managed care contracts with payors and providers.
Develop and implement strategies to maximize reimbursement and minimize financial risk.
Monitor contract performance and ensure compliance with regulatory requirements.
Collaborate with executive leadership to align managed care initiatives with organizational goals.
Analyze market trends and payor performance to inform decision making.
Establish and maintain strong relationships with external partners and stakeholders.

Competencies/Skills

Operational Policy Development
Managed Care Management
Strong negotiation and contract management skills
In-depth knowledge of managed care and insurance regulations
Strategic planning and analytical abilities
Excellent leadership and team management skills
Effective communication and interpersonal skills
Financial acumen and budget management

Experience

Minimum of 10 years of experience in managed care, insurance, or healthcare administration, with at least 5 years in a leadership or executive role.
Bachelor’s Degree or equivalent experience.
Durable medical equipment (DME) environment PLUS.

Requirements

California Resident recent experience working in CA managed care

Key Skills

Operational Policy DevelopmentManaged Care ManagementNegotiation SkillsContract ManagementInsurance RegulationsStrategic PlanningAnalytical AbilitiesLeadership SkillsTeam ManagementCommunication SkillsInterpersonal SkillsFinancial AcumenBudget Management