Managed Care Executive Advisor

Managed Care Executive Advisor

Level: VP of Managed Care/Payor Strategy

Focus: Payor Strategy, Contracting, Value-Based Care, Transitional Leadership

Location: Hybrid, Onsite, Remote - Varies by Engagement

Employment Type: Interim/Transitional, Advisory

About Warbird Healthcare Advisors

Warbird Healthcare Advisors is a leading healthcare consulting firm specializing in strategic advisory services, operational improvement, and executive leadership solutions. We partner with hospitals and health systems nationwide to drive financial stability, operational efficiency, and leadership excellence.

Position Overview

We are seeking a seasoned Managed Care Executive to join our Executive Advisory and Transitional Leadership team. This role is designed for a senior leader with deep experience across payor contracting, managed care analytics, provider relations, and value-based reimbursement, who can step into complex organizations to stabilize, repair, and advance managed care strategy.

This is a transitional executive role for leaders who have operated at the VP level within large, sophisticated healthcare systems and can now apply that expertise to interim leadership assignments, enterprise assessments, and high-stakes negotiations.

What You Will Do

• Serve as Interim VP of Managed Care / Payor Strategy during leadership transitions or transformation initiatives
• Lead and execute payor contracting and negotiation strategy across hospitals, medical groups, CINs, ACOs, and system assets
• Assess and optimize managed care performance, including contract economics, underpayments, reimbursement variance, and risk exposure
• Strengthen relationships with key national and regional payors (BCBS, UHC, Aetna, Cigna, etc.)
• Partner with Revenue Cycle leadership to improve revenue capture, integrity, and realization
• Lead transition toward value-based reimbursement and risk-based arrangements
• Provide executive-level guidance on market strategy, payor alignment, and growth opportunities
• Support due diligence and integration for M&A, joint ventures, and divestitures

What Sets This Role Apart

• This role requires a leader who can walk into fractured payor environments and quickly restore credibility
• Success is defined by financial lift, relationship stabilization, and strategic clarity, not long-term operational management
• You will be expected to combine analytics-driven insight with executive presence in high-pressure negotiations

Required Background

• Former VP of Managed Care, Payor Strategy, or Contracting within a large health system or pediatric/academic medical center
• Demonstrated success negotiating complex managed care and value-based contracts
• Deep experience with managed care analytics, underpayment recovery, and contract modeling
• Proven leadership across credentialing, provider enrollment, provider relations, and contracting functions
• Track record of market growth, EBITDA improvement, and revenue optimization

Ideal Candidate

• A trusted, calm presence in high-stakes negotiations
• Highly analytical and financially astute
• Comfortable navigating competing interests between payors, providers, and executives
• Decisive, credible, and relationship-driven
• Energized by transitional leadership and measurable outcomes