AVP, Network Contracting

Millennium Healthcare Management Serv LLC; Town of Florida (NY); Hybrid; USD 201,000 - 301,000; Full time

Job summary

Mosaic Health is seeking an AVP, Network Contracting to shape enterprise contracting strategy and reimbursement models across markets. You will collaborate with executive leadership to guide network access investments and ensure governance across the contracting function.

You will lead multiple teams, drive value-based contracting initiatives, and provide strategic input on market dynamics and regulatory trends to advance the organization’s contracting objectives.

Qualifications

• Master's degree typical; bachelor's degree required; 10+ years in network contracting with leadership.
• Experience leading enterprise network contracting at scale with reimbursement strategy accountability.
• Ability to influence executive strategy and drive contracting transformation across multi-market groups.
• Expertise in provider reimbursement, value-based contracting, network adequacy, and financial modeling.
• Familiarity with Medicare Advantage, Medicaid managed care, and commercial contracting.

Responsibilities

• Set enterprise network contracting strategy — including reimbursement philosophy and value-based contracting direction.
• Lead and develop the enterprise network contracting organization across market segments.
• Drive network transformation with alignment on reimbursement model evolution and provider partnership strategy.
• Serve as principal adviser to executive leadership on network economics and market dynamics.
• Establish contracting intelligence practices including benchmarking, analytics, and cost trend forecasting.
• Ensure governance and consistency across contracting practices, compliance standards, and financial accountability.
• Track regulatory changes and value-based care developments to advance contracting strategy.

Skills

Network contracting

Leadership

Reimbursement strategy

Financial modeling

Stakeholder management

Regulatory compliance

Education

Master's degree typical

Bachelor's degree required

Job description

Job Description Summary

Negotiates and manages provider agreements to ensure access, cost-effectiveness, and alignment with strategic goals. Analyzes contract terms, reimbursement structures, and market competitiveness. Builds relationships with providers and supports compliance with payer and regulatory requirements. Collaborates with finance and legal teams to finalize and manage contractual obligations. AVP, Network Contracting executes and shapes enterprise network contracting strategy, providing input that influences executive-level decisions with a long-term planning horizon of 2+ years. This job manages multiple teams led by Directors through Professionals, influences others to adopt new contracting practices and approaches across multiple functional areas, and may carry accountability for a subset of the network contracting function P&L.

How will you make an impact & Requirements

Key Responsibilities

• Set enterprise network contracting strategy — including reimbursement philosophy, value-based contracting direction, and network access investment — in partnership with executive leadership and the Chief Network Officer.
• Lead and develop the enterprise network contracting organization, building team capability and ensuring consistent delivery of high-quality provider agreements across all market segments.
• Drive enterprise network transformation initiatives, building alignment across Finance, Legal, Clinical, and operational leadership on reimbursement model evolution and provider partnership strategy.
• Serve as the principal advisor to executive leadership on network economics, reimbursement trends, market dynamics, and provider contracting risk.
• Establish enterprise contracting intelligence practices including reimbursement benchmarking, network adequacy analytics, and cost trend forecasting that inform executive decision-making.
• Ensure governance and consistency across contracting practices, compliance standards, and financial accountability across the function.
• Track regulatory changes, market contracting trends, and value-based care developments to continuously advance the organization’s network contracting strategy.

QUALIFICATIONS

• Master's degree typical; bachelor's degree required 10+ years of network contracting or managed care experience with substantive people leadership across multiple teams.
• Proven track record leading enterprise network contracting functions at scale, including accountability for reimbursement strategy and network economics outcomes.
• Demonstrated ability to influence executive-level strategy and drive contracting transformation across complex, multi-market environments.
• Broad expertise spanning provider reimbursement, value-based contracting, network adequacy, and financial modeling.
• Experience building network intelligence capabilities and advancing enterprise contracting governance.
• Deep familiarity with Medicare Advantage, Medicaid managed care, and commercial contracting required.

Compensation Range

$200,801.00 to $301,200.00 The anticipated base salary range represents the Company's good-faith estimate of the compensation it reasonably expects to pay for this position at the time of posting. Actual compensation will be determined based on factors including experience, skills, qualifications, geographic location, internal equity, and business needs.

Mosaic Health

Mosaic Health is a national care delivery platform focused on expanding access to comprehensive primary care for consumers with coverage across Commercial, Individual Exchange, Medicare, and Medicaid health plans. Learn More about Mosaic Health Learn More about Millennium Physician Group Learn More about CareMore Health Learn More about Castlight Health Learn More about Vera Whole Health