Network Strategy Director(Preferred Experience In Managed Care)

Job Summary:

The Network Strategy Director serves as the enterprise subject-matter expert for provider contracting, leading the organization's most complex, high-risk negotiations and strategic contracting initiatives. They provide senior-level expertise, establish contracting standards and best practices, and mentor contracting professionals across the organization.

Essential Functions:

• Lead negotiation of CareSource 's largest and most strategically significant provider agreements — major health systems, multi-market IDNs, and national/DME vendor contracts — often representing eight-figure annual spend.
• Serve as the enterprise SME on contracting strategy, reimbursement methodology, and deal structuring; advise leadership on negotiation approach for the highest-stakes deals.
• Design and pilot novel contract structures (advanced VBC arrangements, risk corridors, performance-based rate mechanisms) ahead of broader rollout.
• Mentor contracting professionals enterprise-wide on negotiation techniques, deal structuring, and complex contracting methodologies.
• Partner cross-functionally to resolve complex contractual, financial, and regulatory issues arising during negotiations.
• Represent National Network Development in executive-level provider discussions and market-facing negotiations requiring senior credibility.
• Own strategic renewal planning for the highest-exposure agreements in the renewal pipeline (90/180/365-day windows).
• Contribute contracting expertise to enterprise initiatives — new market entry readiness, network optimization pilots, VBC expansion strategy.
• Perform any other job related duties as requested.

Education and Experience:

• Bachelor's degree in business related field required
• Master's degree is preferred
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Eight (8) years provider contracting experience, including a demonstrated track record leading complex, high-dollar, multi-stakeholder negotiations independently required
• Direct experience negotiating with major health systems or IDNs preferred
• Experience designing value-based or risk-based contract structures preferred

Competencies, Knowledge and Skills:

• Expert level knowledge of reimbursement methodology and contract law fundamentals
• Ability to design and defend novel contract structures
• Sophisticated financial and risk analysis
• Expert-level negotiation and deal architecture
• Enterprise strategic thinking
• Executive presence and provider-facing credibility
• Mentorship and technical leadership without formal authority
• Complex risk and financial structuring

Licensure and Certification:

• None Working Conditions:
• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (occasional) travel to attend meetings, trainings, and conferences may be required

Compensation Range:

$113,000.00 - $197,700.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

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Fostering a Collaborative Workplace Culture

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Cultivate Partnerships

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Develop Self and Others

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Drive Execution

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Influence Others

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Pursue Personal Excellence

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Understand the Business

Brand= CareSource

Originally posted on Himalayas