CommonSpirit Health

System Director, Employer, Commercial and Value Based Contracting

CommonSpirit Health$130K — $180K *
US-AnywhereRemote
Healthcare
8 - 10 years of experience
Job Overview by Ladders

Qualifications

  • Bachelor's degree required; Master's preferred in relevant fields.
  • 10+ years in employer healthcare strategy, commercial payer contracting, or related areas.
  • 5+ years in program, project, product, or client relationship management in healthcare.
  • Deep understanding of employer-sponsored healthcare markets and funding arrangements.
  • Experience in developing commercial value-based contracts and innovative reimbursement structures.

Responsibilities

  • Lead development and execution of employer strategy and alternative payment models.
  • Design and implement innovative healthcare solutions for various employer types.
  • Negotiate and monitor commercial value-based contracts and payment models.
  • Support commercial fee-for-service negotiations and value-based initiatives with analytics collaboration.
  • Develop a Commercial Payer Strategy Playbook to inform market dynamics and trends.
  • Drive business development with key stakeholders to expand market share.
  • Collaborate with clinical networks to design programs supporting affordability and quality.

Benefits

  • Flexible work schedule and remote working options.
  • Career development opportunities and continuing education support.
  • Health and wellness programs for employees.
  • Comprehensive health insurance coverage including dental and vision.
  • Retirement savings plans with company matching contributions.
Full Job Description
Job Summary and Responsibilities As our System Director, Employer Strategy, Commercial Growth & Alternative Payment Models you will be responsible for developing and executing CommonSpirit Health's national strategy for employer-sponsored healthcare solutions, commercial growth initiatives, and alternative payment model (APM) partnerships. This leader serves as a strategic bridge between employer markets, payer strategy, clinically integrated networks, population health, and provider operations to develop innovative solutions that improve affordability, quality, access, and value for employers, health plans, and consumers. The role leads the design, development, commercialization, implementation, and performance management of employer-focused healthcare products, direct-to-employer arrangements, self-funded employer solutions, commercial value-based contracts, and alternative payment models. This includes partnerships with employers, brokers, consultants, TPAs, health plans, provider networks, and other distribution channels. The Director is responsible for identifying new business development opportunities, expanding commercial membership and market share, supporting payer contracting strategies, and developing innovative reimbursement structures including shared savings, shared risk, bundled payments, capitation, centers of excellence, narrow networks, tiered networks, direct contracting arrangements, and population health solutions. The position operates within a highly matrixed environment and requires significant collaboration across national, regional, and market leadership teams. - Lead the development and execution of CommonSpirit Health's employer strategy, commercial growth strategy, and alternative payment model roadmap across national, regional, and market-based opportunities. - Develop innovative healthcare solutions for self-funded employers, fully insured commercial groups, labor organizations, public sector employers, and other commercial purchasers of healthcare services. - Design, negotiate, implement, and monitor commercial value-based contracts and alternative payment models including shared savings, shared risk, bundled payments, episodic payments, commercial capitation, population-based reimbursement arrangements, and other emerging payment methodologies. - Partner with Payer Strategy & Analytics leadership to support commercial fee-for-service negotiations, value-based contracting initiatives, and out-of-network strategies by developing employer-focused solutions and market differentiation strategies. - Develop and maintain a Commercial Payer Strategy Playbook that evaluates payer market dynamics, competitive positioning, reimbursement structures, network strategies, employer purchasing trends, and emerging commercial market opportunities. - Lead business development efforts with employers, consultants, brokers, TPAs, health plans, benefit advisors, and distribution partners to expand membership, increase market share, and grow enterprise revenue. - Collaborate with clinically integrated networks, population health teams, physician enterprises, and operational leaders to design products and programs that support clinical quality, utilization management, affordability, and sustainable financial performance. - Evaluate opportunities for direct-to-employer contracting, centers of excellence arrangements, steerage programs, reference-based pricing strategies, narrow network products, and high-performance network solutions. - Partner with actuarial, analytics, finance, and underwriting resources to develop pricing methodologies, financial models, risk assessments, performance guarantees, and ROI analyses supporting employer and commercial payer opportunities. - Lead implementation and operational readiness activities for employer-sponsored programs, ensuring successful onboarding, stakeholder engagement, performance reporting, and customer satisfaction. - Oversee strategic relationships with TPAs, commercial health plans, stop-loss carriers, consultants, brokers, employer coalitions, and other external partners. - Monitor commercial payer performance, membership growth, reimbursement trends, market share shifts, competitive intelligence, and emerging healthcare delivery models to identify opportunities for growth and innovation. - Recruit, develop, mentor, and lead a high-performing team capable of supporting employer strategy, commercial growth, value-based contracting, and alternative payment model initiatives across the enterprise. Job Requirements Required - Bachelor’s degree required. Master’s degree preferred in relevant field of study in Business Administration, Healthcare Administration, Public Health, Economics, Finance, Actuarial Science, Health Policy, or related field. - A minimum of ten (10) years of responsibility in one or more of the following areas: - Employer healthcare strategy - Commercial payer contracting - Alternative payment models - Value-based care - Provider network strategy - Health plan product development - Population health - Benefits consulting - Healthcare economics - Direct-to-employer solutions - Healthcare business development - A minimum of five (5) years of experience in program, project, product and/or client relationship management with progressive management in a healthcare or health insurance environment Preferred - Master’s degree preferred in relevant field of study in Business Administration, Healthcare Administration, Public Health, Economics, Finance, Actuarial Science, Health Policy, or related field. - Life and Health license helpful - PMP certification helpful Required Minimum Knowledge, Skills, Abilities and Training - Deep understanding of employer-sponsored healthcare markets, including fully insured, self-funded, level-funded, and alternative funding arrangements. - Experience developing and implementing commercial value-based contracts including shared savings, downside risk, bundled payments, capitation, and population health arrangements. - Knowledge of commercial payer reimbursement methodologies, provider network design, risk adjustment, medical economics, actuarial principles, and healthcare finance. - Experience working with health plans, TPAs, benefits consultants, brokers, employer coalitions, and provider organizations. - Demonstrated success developing new products, launching new programs, growing membership, increasing revenue, or expanding market share. - Strong business development, negotiation, relationship management, and executive communication skills.

About CommonSpirit Health

CommonSpirit is a nonprofit health care center. They offer community health programs, research programs, virtual care services, and home health programs that address the root causes of poor health, such as access to care, affordable housing, neighborhoods, and a healthy environment.

CommonSpirit Health Careers

Join the dedicated team at CommonSpirit Health, a leader in healthcare innovation and community wellness. CommonSpirit Health offers a range of job opportunities that empower professionals to grow their careers in a supportive and diverse environment.

Explore Career Opportunities

CommonSpirit Health is actively hiring and offers a variety of positions that cater to different skills and career aspirations. From clinical roles to administrative positions, the company provides a platform for growth and professional development.

Experience a Culture of Care and Innovation

At CommonSpirit Health, the culture is grounded in diversity, leadership, and innovation. The team is committed to fostering an inclusive environment where every member’s contribution is valued. CommonSpirit Health leads with a spirit of compassion and a commitment to excellence in healthcare.

Join a Team That Values Diversity and Leadership

CommonSpirit Health believes in the power of diversity and leadership to drive innovation. The company invests in diversity training and leadership development programs, ensuring that all team members are equipped to lead with integrity and empathy.

Internship and Employment Opportunities

For those starting their career, CommonSpirit Health offers internship programs that provide hands-on experience in the healthcare industry. These internships are designed to develop essential skills and offer insights into various aspects of healthcare operations.

Benefits and Growth

Employees at CommonSpirit Health enjoy a comprehensive benefits package that supports both their professional and personal lives. The company is committed to the career growth of its employees, offering numerous opportunities for advancement and professional development.

Networking and Professional Development

CommonSpirit Health encourages networking and continuous learning. Employees have access to a wide range of professional development courses and are encouraged to connect with peers and leaders within the industry to enhance their career prospects.

Applying for a Position

To apply for a position at CommonSpirit Health, candidates should prepare their resume to highlight relevant experience and skills. The hiring process may include an interview to assess compatibility with the company’s values and culture. Interested candidates can explore job listings and submit applications through the CommonSpirit Health Careers portal.

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Explore CommonSpirit Health Careers

Discover the rewarding career opportunities at CommonSpirit Health. With a commitment to community health, innovation, and compassionate care, CommonSpirit Health is an ideal place to advance a career in healthcare. Search open positions that match skills and interests and join a team that’s making a difference.

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Learn more about CommonSpirit Health
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10,001 employees
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