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Description

This position is incentive eligible.

Introduction

Do you want to join an organization that invests in you as an AVP Managed Care? At HCA Healthcare, you come first. HCA Healthcare has committed up to $300 million in programs to support our incredible team members over the course of three years.

Benefits

HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:

+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.

+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.

+ Free counseling services and resources for emotional, physical and financial wellbeing

+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)

+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock

+ Family support through fertility and family building benefits with Progyny and adoption assistance.

+ Referral services for child, elder and pet care, home and auto repair, event planning and more

+ Consumer discounts through Abenity and Consumer Discounts

+ Retirement readiness, rollover assistance services and preferred banking partnerships

+ Education assistance (tuition, student loan, certification support, dependent scholarships)

+ Colleague recognition program

+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)

+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Learn more about Employee Benefits (https://careers.hcahealthcare.com/pages/employee-benefits-and-rewards)

_Note: Eligibility for benefits may vary by location._

You contribute to our success. Every role has an impact on our patients’ lives and you have the opportunity to make a difference. We are looking for a dedicated AVP Managed Care like you to be a part of our team.

Job Summary and Qualifications

We are seeking a strategic and results-driven Assistant Vice President (AVP) to lead payer contracting and revenue optimization across a diverse healthcare portfolio valued between $1.0B and $2.5B. This role is pivotal in driving financial performance, managing payer relationships, and supporting strategic initiatives across hospitals, behavioral health facilities, emergency departments, ambulatory surgery centers, and ancillary services. The AVP will collaborate closely with internal stakeholders and external payers to ensure alignment with company goals and market strategies. This role will primarily support markets in Idaho and Alaska but may also work with other markets as needed.

Key Responsibilities

+ Optimize net revenue across a $1B–$2.5B portfolio including hospitals, ASCs, EDs, behavioral health, and PSG-employed physicians.

+ Lead contract negotiations and implementation with Managed Care Organizations (MCOs) and other payers.

+ Support strategic planning by preparing annual Market Strategic Reviews and PCA budget packets with RVPs.

+ Maximize contract yield using strategic pricing, legal, and analytics tools (e.g., Qlikview, Service Line tools).

+ Collaborate across teams including PCA-Government Payers and Physician Services Group (PSG) on payer contracting.

+ Drive denial management through proactive contract protections, tracking, resolution, and dispute processes.

+ Develop and mentor staff in alignment with company policies and best practices.

+ Contribute to strategic initiatives such as alternative payment models (APMs), healthcare reform, and delivery system redesign.

+ Engage with senior leadership across HCA’s Group/Division/Market/Facility teams to align PCA activities with operational goals.

Qualifications:

+ Bachelor’s degree required

+ Master’s degree preferred

+ 10+ years of relevant experience is required

+ Experience in Managed Care contract negotiations for a hospital system or Managed Care Organization

We are comprised of affiliated hospitals, physician practices and other sites of care across the United States and United Kingdom. The Sarah Cannon Cancer Network is transforming cancer care through integrated services and cutting-edge technologies. Our physicians can develop leading oncology programs to advance science and patient care. Providing physician-led patient care offers our doctors access to a national network of experts. This is where multidisciplinary teams come together with a goal of delivering seamlessly coordinated, quality cancer care. Through a united network of globally recognized oncology specialists, we collaborate and share best practices. We address each aspect of the cancer journey, from screening and diagnosis through treatment and survivorship, to advance our shared mission: Above all else, we are committed to the care and improvement of human life.

HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $3.7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.

"Good people beget good people."- Dr. Thomas Frist, Sr.

HCA Healthcare Co-Founder

We are a family 270,000 dedicated professionals! Our Talent Acquisition team is reviewing applications for our AVP Managed Care opening. Qualified candidates will be contacted for interviews. **Submit your resume today to join our community of caring!**

We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.