Vice President of Revenue Operations

Location: South Florida preferred | Approximately 30–40% travel

Key Responsibilities: Develop and execute a national, state-by-state payer contracting strategy, prioritizing commercial, Medicaid MCO, Medicare Advantage, ACA, TRICARE/VA, and other key payer opportunities. Lead payer negotiations from strategy through execution, including rates, reimbursement methodology, authorization/UR terms, level-of-care coverage, escalators, and contract provisions. Drive the organization’s strategic transition from OON to INN, balancing increased network access and patient volume with strong reimbursement and margin protection. Build financial models comparing OON collections, proposed INN rates, anticipated volume, length of stay, and net revenue by level of care. Evaluate payer opportunities in new markets to support continued national expansion and de novo growth. Partner closely with Revenue Cycle, Operations, Clinical, Admissions, Marketing, and Legal to ensure successful contract implementation. Monitor contract performance, payment accuracy, underpayments, renewals, and payer relationships while reporting key performance metrics to executive leadership. Lead and develop the existing contracting function and serve as a primary relationship owner with payer network and behavioral health leadership.

Qualifications: 10+ years of managed care contracting experience, including 5+ years directly leading negotiations with commercial payers. Significant behavioral health contracting experience, ideally across SUD and mental health services. Proven success converting a healthcare organization from OON to INN or establishing network participation for a growing multi-site provider. Multi-state payer contracting experience, including familiarity with Medicaid MCO environments. Strong knowledge of reimbursement methodologies, utilization review, prior authorization, and mental health parity requirements. Strong financial and contract modeling skills with the ability to build and defend payer contract pro formas. Bachelor’s degree in Business, Finance, Healthcare Administration, or a related field required; MBA, MHA, or JD preferred. Established relationships with national and regional payers and behavioral health vendors are highly preferred.

The Opportunity: This is a builder role, not a maintenance role. The VP will have the opportunity to shape the payer strategy for a growing national behavioral health platform, influence expansion into new markets, and build a contracting infrastructure capable of supporting significant long-term growth.