Network Strategy Director(Preferred Experience In Managed Care)

CareSource; United States; On-site; USD 113,000 - 198,000; Full time

Job summary

CareSource seeks a Network Strategy Director to serve as the enterprise subject-matter expert on provider contracting, leading the organization’s most complex negotiations and strategic contracting initiatives. You will set contracting standards, mentor teams, and influence leadership on high-value deals.

You will design innovative contract structures, advise on reimbursement strategies, and drive renewal planning for the highest-exposure agreements across markets, with travel up to 15%.

Qualifications

• Eight years provider contracting experience, including leading complex, high-dollar negotiations independently.
• Direct experience negotiating with major health systems or IDNs preferred.
• Experience designing value-based or risk-based contract structures preferred.

Responsibilities

• Lead negotiation of CareSource's largest and most strategically significant provider agreements with major health systems, multi-market IDNs, and national/DME vendors.
• Serve as enterprise SME on contracting strategy, reimbursement methodology, and deal structuring; advise leadership on high-stakes deals.
• Design and pilot novel contract structures (VBC, risk corridors, performance-based rates) before wider rollout.
• Mentor contracting professionals enterprise-wide on negotiation techniques and complex contracting methodologies.
• Partner cross-functionally to resolve complex contractual, financial, and regulatory issues arising during negotiations.
• Represent National Network Development in executive-level provider discussions and market-facing negotiations.
• Own strategic renewal planning for the highest-exposure agreements in the renewal pipeline (90/180/365-day windows).
• Contribute contracting expertise to enterprise initiatives like new market entry readiness and VBC expansion strategy.

Skills

Contracting strategy

Reimbursement methodology

Contract law fundamentals

Financial risk analysis

Negotiation techniques

Education

Bachelor's degree in business

Master's degree preferred

Job description

Job Summary

The Network Strategy Director serves as the enterprise subject-matter expert for provider contracting, leading the organization's most complex, high-risk negotiations and strategic contracting initiatives. They provide senior-level expertise, establish contracting standards and best practices, and mentor contracting professionals across the organization.

Essential Functions

• Lead negotiation of CareSource's largest and most strategically significant provider agreements — major health systems, multi-market IDNs, and national/DME vendor contracts — often representing eight-figure annual spend.
• Serve as the enterprise SME on contracting strategy, reimbursement methodology, and deal structuring; advise leadership on negotiation approach for the highest-stakes deals.
• Design and pilot novel contract structures (advanced VBC arrangements, risk corridors, performance-based rate mechanisms) ahead of broader rollout.
• Mentor contracting professionals enterprise-wide on negotiation techniques, deal structuring, and complex contracting methodologies.
• Partner cross-functionally to resolve complex contractual, financial, and regulatory issues arising during negotiations.
• Represent National Network Development in executive-level provider discussions and market-facing negotiations requiring senior credibility.
• Own strategic renewal planning for the highest-exposure agreements in the renewal pipeline (90/180/365-day windows).
• Contribute contracting expertise to enterprise initiatives — new market entry readiness, network optimization pilots, VBC expansion strategy.
• Perform any other job related duties as requested.

Education and Experience

• Bachelor's degree in business related field required
• Master's degree is preferred
• Equivalent years of relevant work experience may be accepted in lieu of required education
• Eight (8) years provider contracting experience, including a demonstrated track record leading complex, high-dollar, multi-stakeholder negotiations independently required
• Direct experience negotiating with major health systems or IDNs preferred
• Experience designing value-based or risk-based contract structures preferred

Competencies, Knowledge and Skills

• Expert level knowledge of reimbursement methodology and contract law fundamentals
• Ability to design and defend novel contract structures
• Sophisticated financial and risk analysis

Licensure and Certification

• None

Working Conditions

• General office environment; may be required to sit or stand for extended periods of time
• Up to 15% (occasional) travel to attend meetings, trainings, and conferences may be required

Salary

$113,000.00 - $197,700.00 CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Organization Level Competencies

• Fostering a Collaborative Workplace Culture
• Cultivate Partnerships
• Develop Self and Others
• Drive Execution
• Influence Others
• Pursue Personal Excellence
• Understand the Business

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.