Network Strategy Director – Preferred Experience In Managed Care

This is a fully remote position, open to applicants in United States.

📋 Description

• Lead the negotiation of CareSource's most significant and strategically vital provider agreements, encompassing major health systems, multi-market IDNs, and national/DME vendor contracts.

• Act as the enterprise subject-matter authority on contracting strategy, reimbursement methodologies, and deal structuring.

• Provide guidance to leadership on negotiation strategies for high-stakes agreements.

• Create and pilot innovative contract structures, including advanced VBC arrangements, risk corridors, and performance-based rate mechanisms.

• Mentor contracting professionals across the enterprise.

• Collaborate cross-functionally to address complex contractual, financial, and regulatory challenges.

• Represent National Network Development in high-level provider discussions and market-facing negotiations.

• Oversee strategic renewal planning for agreements with the highest exposure, utilizing 90/180/365-day windows.

• Contribute contracting expertise to enterprise initiatives such as new market entry readiness, network optimization pilots, and VBC expansion strategy.

• Perform various job-related tasks as assigned.

⛳️ Requirements

• A bachelor's degree in a business-related field is required.

• Equivalent years of relevant work experience may be considered in place of the required education.

• A minimum of eight (8) years of provider contracting experience is required.

• Proven history of independently leading complex, high-value, multi-stakeholder negotiations.

• Direct experience negotiating with major health systems or IDNs is preferred.

• Experience in designing value-based or risk-based contract structures is preferred.

• Expert-level knowledge of reimbursement methodologies and foundational contract law.

• Capability to design and defend innovative contract structures.

• Proficiency in sophisticated financial and risk analysis.

• Expertise in negotiation and deal architecture.

• Enterprise-level strategic thinking.

• Strong executive presence and credibility in provider-facing interactions.

• Ability to provide mentorship and technical leadership without formal authority.

• Experience in complex risk and financial structuring.

• Occasional travel of up to 15% may be required.

🏝️ Benefits

• Bonus opportunities linked to both company and individual performance may be available.

• A comprehensive total rewards package.

• Support for employee total well-being.