AVP, Hospital Contracting & Network Innovation

Alignment Health

United States

Remote

USD 172,000 - 259,000

Full time

14 days+

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Job summary

Alignment Health seeks an AVP of Contracting & Network Management to lead strategic development, negotiation, and execution of provider network contracts with a focus on hospital systems. You will drive innovative contracting, optimize network design, and advance next-generation care models for Medicare Advantage populations.

Reporting to the Chief of Contracting and Market Management, this senior leader will partner with executive leadership to ensure network competitiveness, strong financial

Qualifications

  • 10+ years of experience in healthcare contracting, network management.
  • Deep expertise in hospital contracting and hospital systems.
  • Strong ability to negotiate complex contracts and drive value-based outcomes.

Responsibilities

  • Develop and execute hospital contracting strategies with acute care hospitals and IDNs.
  • Negotiate highly complex hospital agreements (fee-for-service, DRG, case rate, bundles).
  • Oversee enterprise provider contracting across IPAs, medical groups, physicians, and ancillary providers.
  • Ensure CMS compliance and alignment with financial targets and quality outcomes.

Skills

Healthcare contracting
Hospital contracting
Contract negotiation
Medicare Advantage
Financial modeling

Education

BA/BS
MBA

Job description

Alignment Health seeks an AVP of Contracting & Network Management to lead strategic development, negotiation, and execution of provider network contracts with a focus on hospital systems. You will drive innovative contracting, optimize network design, and advance next-generation care models for Medicare Advantage populations.

Reporting to the Chief of Contracting and Market Management, this senior leader will partner with executive leadership to ensure network competitiveness, strong financial

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