About the role
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
