Director, Network Contracting & Value‑Based Care

CareMore Health; California (MO); On-site; USD 131,000 - 236,000; Full time

Benefits offered by this job

Medical, Dental, Vision

401(k) with match

Flexible PTO

Wellness programs

Employee discounts

Job summary

CareMore Health leads the development, negotiation, and management of provider networks for Medicare Advantage, Medicaid, and managed care populations. The Director, Network Contracting, drives strategy, analytics, and governance to improve access, affordability, and outcomes.

With senior leadership oversight, this role guides complex negotiations, performance analyses, and rate proposals while fostering partnerships across Finance, Legal, and Clinical Operations.

Qualifications

• Bachelor's degree in Business Administration, Healthcare Administration, Finance, Economics, Public Health, or related field.
• Must reside in Arizona, California, or Nevada.
• 7-10+ years in provider network contracting, managed care, healthcare finance, or provider reimbursement.
• Demonstrated leadership of contracting organizations and strong analytical skills.

Responsibilities

• Develop and execute provider contracting strategy aligned with enterprise objectives.
• Lead negotiations with health systems and provider organizations for high-value agreements.
• Oversee provider reimbursement strategies and value-based contracting initiatives.
• Ensure timely execution and compliance of provider agreements across networks.
• Monitor performance and address contracting opportunities with internal stakeholders.

Skills

Strategic Leadership

Executive leadership

Negotiation

Financial analysis

Relationship management

Data-driven decisions

Cross-functional collaboration

Education

Bachelor's degree in Business Administration or related field

Job description

CareMore Health leads the development, negotiation, and management of provider networks for Medicare Advantage, Medicaid, and managed care populations. The Director, Network Contracting, drives strategy, analytics, and governance to improve access, affordability, and outcomes.

With senior leadership oversight, this role guides complex negotiations, performance analyses, and rate proposals while fostering partnerships across Finance, Legal, and Clinical Operations.