Network Contracting Director, Healthcare Contracts & Value-Based Care
Overview
Own the strategy, development, and management of CareMore Health’s provider networks across Medicare Advantage, Medicaid, and managed care populations. Lead a team of contracting professionals to negotiate, implement, and administer provider agreements at scale in multiple markets. Collaborate with Finance, Legal, ClinOps, and Strategy to advance value-based care and affordability while maintaining high quality and access.
What You'll Do10
- 1Lead provider contracting strategy aligned with enterprise objectives and market growth
- 2Guide complex negotiations with health systems and integrated networks and drive executive sponsorship
- 3Oversee reimbursement strategies and value-based contracting to support financial sustainability
- 4Monitor performance, utilization, and access to identify gaps and opportunities for improvement
- 5Develop annual contracting plans and measurable objectives across geographic markets
- 6Provide analytics and financial modeling to assess contracting impact and inform negotiation strategy
- 7Direct governance and processes for contract lifecycle, compliance, and data integrity
- 8Foster leadership development, succession planning, and professional growth within the contracting group
- 9Partner with Finance, Local Markets, and Strategy to communicate executive reporting and business impact
- 10Represent CareMore in executive forums and strategic partnerships to influence market strategy
Requirements5
- 1Bachelor's degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field
- 27–10+ years in provider network contracting or related healthcare finance roles
- 3Proven leadership of contracting teams and professional staff
- 4Strong negotiation, communication, and relationship-building skills
- 5Ability to manage multiple strategic initiatives in a fast-paced, evolving environment
Salary Insight
$131 - $236k per year
Location
Required Skills
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