Director, Network Partnerships & Contracting

📋 Description

• Lead development and execution of provider network partnerships; identify priority markets
• Own new network launches end-to-end; ensure networks are competitively priced, operationally ready
• Analyze market intelligence, network economics, reimbursement rates, competitor positioning, and
• Build and maintain relationships with prospective network partners; translate market insights into
• Evaluate regional leased-network opportunities and innovative models to support go/no-go and market
• Negotiate complex healthcare agreements with providers, hospitals, health systems, and vendors

🎯 Requirements

• Bachelor's degree or equivalent practical experience; 8+ years in provider contracting, network
• Deep knowledge of provider payment methodologies, including DRGs, case rates, per diems
• 5+ years in contracting or network roles supporting commercial group markets and employer-sponsored
• Strong understanding of TPA, ASO, and leased-network arrangements and their implications for
• 5+ years independently drafting and negotiating complex healthcare agreements with hospitals
• 4+ years ensuring contracts meet regulatory requirements (federal/state) including No Surprises Act

🎁 Benefits

• Comprehensive health and wellness benefits designed to support employees and families.
• Alternative medicine coverage as part of benefits package.
• Flexible paid time off (PTO).
• Up to 16 weeks of paid parental leave.
• Paid holidays.
• 401(k) program to support long-term financial planning.