Qualifications
Responsibilities
Benefits
Job Description
A bit about this role:
The Senior Director, Network Contracting is an executive operational leadership position responsible for directing and executing provider network contracting, deal closing, and unit-cost delivery across key growth markets. In this role, you will serve as the primary commercial lead on the team—bringing deep Commercial-first contracting expertise while guiding a high-performing team that executes across both Commercial and Medicare Advantage lines of business. You will serve as a hands-on executive accountable for operationalizing provider agreements, optimizing fee schedules, and ensuring scalable deal execution. As an adaptable operational leader, you will leverage modern digital workflows, data visualization tools, and AI-assisted analytics to track contract yields, speed up turnaround times, and maintain pricing discipline.
Your Responsibilities and Impact will include:
Contract Execution & Market Growth: Drive end-to-end execution of provider contracting across targeted expansion markets, ensuring agreements are closed on time, within yield targets, and fully compliant with operational standards.
Contracting Lead: Serve as the functional domain lead for contracting strategy and execution, while leading a team responsible for executing deals across both Commercial and Medicare Advantage products.
Hands-on Deal Closing & Fee Schedule Optimization: Lead complex, direct negotiations with physician groups, specialty networks, and ancillary providers—focusing heavily on commercial fee schedules, rates, and risk structures.
Operationalizing Agreements: Partner closely with Provider Operations, Claims, and Credentialing to ensure negotiated contract terms, rates, and value-based parameters are flawlessly implemented into core systems.
Team Leadership & Operational Excellence: Manage and mentor a high-performing team of network contracting negotiators, driving accountability, standardizing negotiation playbooks, and adopting AI-assisted tools to streamline deal workflows.
Cross-Functional Alignment: Collaborate with Actuarial, Underwriting, Product, and Sales teams to rapidly execute network deals that support competitive product pricing and market expansion.
Required skills and experience:
12+ years of hands-on experience in healthcare network contracting, with a primary foundation and proven track record in Commercial managed care environments, paired with exposure to Medicare Advantage execution.
Extensive background directly closing high-stakes contract negotiations with physician organizations, specialty groups, and ancillary provider networks.
Deep expertise in commercial pricing models, fee schedule development, risk-sharing structures, and contract operationalization.
Demonstrated experience building, leading, and driving accountability across direct-report contracting teams focused on multi-product deal execution and speed-to-market.
An adaptable, tech-forward mindset with a focus on leveraging modern workflows and AI-assisted tools to accelerate deal execution and reporting.
Desired skills and experience:
Background or prior experience with health system, hospital, or Integrated contracting models.
Knowledge of Medicare Advantage regulatory frameworks and CMS network adequacy requirements.
Proficiency in utilizing data visualization platforms or AI copilots to evaluate contract financial yields and rate impacts.
Salary range: $180,000 -$250,000 / year
The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.
Our Total Rewards package includes:
Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
Parental leave program
401K program
And more....
*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.
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