"Vice President, Health Plan Strategy and Managed Care, Chief Contracting Officer"

Posted: 04-Sep-25

Location: San Francisco, California

Type: Full-time

Categories: Staff/Administrative

Internal Number: 85991BR

The Vice President, Health Plan Strategy & Managed Care & Chief Contracting Officer (CCO), UCSF Health establishes strategies for developing the financial, programmatic and operational long term plans for managed care and health plan partnerships, and strategic program and coverage expansion activities for the health system. Oversees negotiations of substantial importance and impact across the health system. This position will report directly to the SVP and Chief Financial Officer of UCSF Health. The VP/CCO is a member of UCSF Health's Senior Leadership Council (SLC) and a member of the System CFO's senior leadership team.

The position is directly responsible for negotiation and management of all UCSF Health's contracted payer relationships (commercial, governmental and large at-risk referring medical groups), as well as for developing contracting strategies to engage community providers and expand UCSF Health's growing regional footprint. This includes the increasingly important Community Integrated (physician) Network and regional hospital affiliations. Contracted entities include UCSF Medical Center, including Benioff Children's Hospital San Francisco, Benioff Children's Hospital Oakland, UCSF's School of Medicine (SOM) Faculty Practice Organization, including UCSF's rapidly expanding Clinically Integrated Network (CIN) - representing integrated community physicians in the greater bay area, as well as contracted UBCP physicians supporting BCHO, and for UCSF's Langley Porter Psychiatric Hospital.

In addition to overall contracting responsibility, the position is responsible for developing and executing managed care contracting strategy for commercial and governmental transplant Center of Excellence (COE) contracts, risk-bearing Accountable Care Organization (ACO) collaborations, and Health Insurance Exchange (HIE) products. Most importantly, the VP is responsible for ensuring commercial, Medicare Advantage seniors and Medi-Cal Managed Care plan enrollees can access UCSF from both local and regional markets. The role is responsible for all contract modeling, financial performance assessment and negotiation support (business, legal and financial), including EPIC-based calculation of expected payments and for monitoring actual contract payments/compliance.

In support of UCSF's rapidly expanding high value system of care and the Canopy Health network, this position works closely with UCSF's office of Population Health and UCSF's dyad partners to evaluate and improve the cost effectiveness of care delivery both for assigned and referred enrollees. This ensures contracting strategies are aligned with and actively support the achievement of optimal patient care, and will help to ensure the long term viability of UCSF Health.

The position will also play a critical role in in the execution of the UCSF Clinical Enterprise Plan which is a 5-year plan that is currently being updated for roll out in the winter of 2025, this plan will take us through the new opening of the new inpatient facilities expected in 2030 and 31.

The final salary and offer components are subject to additional approvals based on UC policy. Your placement within the salary range is dependent on a number of factors including your work experience and internal equity within this position classification at UCSF. For positions that are represented by a labor union, placement within the salary range will be guided by the rules in the collective bargaining agreement.

The salary range for this position is $281,700 - $593,100 (Annual Rate).

To learn more about the benefits of working at UCSF, including total compensation, please visit: https://ucnet.universityofcalifornia.edu/compensation-and-benefits/index.html