Chief Managed Care Officer

Chief Managed Care Officer – Acute Care and Behavioral Health Divisions

Universal Health Services

Location: King of Prussia, Pennsylvania

Shape the future of managed care through strategic leadership, influential partnerships, and meaningful financial impact. This executive opportunity offers the ability to lead managed care strategy across acute care and behavioral health divisions, strengthening reimbursement while supporting high-quality, cost-effective care.

The CMCO will be responsible for:

• Developing and executing a comprehensive managed care strategy in partnership with acute care and behavioral health leadership.
• Serving as the chief negotiator for commercial, government, and non-government payer contracts, securing optimal reimbursement across all levels of care.
• Leading payer remediation efforts and advancing value-based payment arrangements and integrated medical and behavioral health payment models.
• Analyzing contract performance, financial results, payer rates, and competitive market data to strengthen reimbursement and operational efficiency.
• Overseeing provider network relationships, network capacity, and provider enrollment processes.
• Building the managed care department’s organizational structure, recruiting regional experts, and directing team performance.
• Partnering with clinical leaders to improve patient outcomes, satisfaction, and resource utilization.

The CMCO will be expected to:

• Deliver measurable improvements in managed care financial performance and supporting long-term financial sustainability.
• Build productive relationships with payers, providers, division presidents, and financial, clinical, and administrative teams.
• Ensure managed care operations and contracts comply with applicable regulations and accreditation standards.
• Advocate for appropriate provider reimbursement and behavioral health rate parity through industry associations.
• Monitor market trends and identifying opportunities for growth, partnerships, and process improvement.
• Provide clear direction and accountability to regional managed care leaders.
• Work within a dual reporting structure to the presidents of the acute care and behavioral health divisions.
• Travel regularly to healthcare facilities.

A qualified candidate will possess the following:

• A bachelor’s degree in healthcare administration, business administration, or a related field; a master’s degree such as an MHA, MBA, or MPH is strongly preferred.
• Extensive managed care leadership experience, typically 10–15 years, within a healthcare system or health plan.
• A proven record of successful payer contract negotiations and implementation of strategic initiatives.
• Strong knowledge of reimbursement strategies, value-based payment models, and managed care financial performance.
• Excellent negotiation, analytical, and problem-solving skills.
• Strong communication and executive leadership abilities, with the capacity to influence stakeholders and lead cross-functional teams.
• The ability to connect financial objectives with quality care, operational efficiency, and organizational growth.

This opportunity offers:

• Competitive compensation (base, bonus and equity) and generous paid time off.
• Comprehensive medical, dental, vision, and prescription drug coverage.
• A 401(k) with company match and a discounted stock purchase plan.
• Access to a student loan refinancing program.
• Career development opportunities within a large, growing healthcare organization.
• Executive visibility and the opportunity to influence strategy across two major healthcare divisions.

For consideration, inquiries, nominations and applications should be submitted to:

Susan Ellis, Senior Recruiting Consultant

Career1Source

Call/Text 610.598.0136

Email: SusanEllis@Career1Source.com

*Candidates must be eligible to work in the US as well as meet the qualifications listed above in order to be considered for the Chief Managed Care Officer job.

Job Id: 18156