Senior Director, Capitated Provider Contracting

Astrana Health; Monterey Park (CA); Hybrid; USD 124,000 - 145,000; Full time

Benefits offered by this job

Hybrid work arrangement

Job summary

Astrana Health in Monterey Park, CA is seeking a Senior Director – Provider Contracting to lead capitated specialist contracts. This hybrid role requires weekly in-office presence at the Monterey Park/Alhambra offices and remote work on other days, with a strong emphasis on strategic negotiation and contract optimization.

You will partner with the VP of Contracting to develop and execute capitation strategies, manage relationships, and drive performance across multi-state markets, while ensuring

Qualifications

• Master's degree and/or Bachelor's degree in business administration or a health care related field, or equivalent experience.
• Have at least 10 years of prior experience in capitation contracting with Specialists.

Responsibilities

• Own and manage capitated specialist relationships with senior leadership.
• Design and oversee contracting strategies aligned with growth, compliance, and cost-effectiveness.
• Act as a thought leader, providing executive-level guidance on contracting initiatives.
• Direct and ensure proper administration of DOFRs, contract amendments, and RFPs.
• Oversee project management of all specialist capitation contracting initiatives, ensuring timely, compliant execution.
• Interpret and assess contractual risk in provider agreements, leading high-stakes, time-sensitive negotiations.
• Ensure contracts optimize reimbursement, protect the organizations' interests, and strengthen provider relationships.
• Establish and maintain policies and processes that streamline contract review, approval, and execution across the enterprise.
• Partner with Claims, Configuration, Business Development, and Data Management to align operations with contracting strategies.
• Drive root-cause solutions to systemic issues affecting contract performance or compliance.
• Provide executive-level reports and recommendations to senior leadership on network adequacy, financial impact, and strategic opportunities related to specialist capitation agreements.
• Other duties as assigned.

Education

Master's degree and/or Bachelor’s degree in business administration or a health care related field, or equivalent experience

Job description

Astrana Health in Monterey Park, CA is seeking a Senior Director – Provider Contracting to lead capitated specialist contracts. This hybrid role requires weekly in-office presence at the Monterey Park/Alhambra offices and remote work on other days, with a strong emphasis on strategic negotiation and contract optimization.

You will partner with the VP of Contracting to develop and execute capitation strategies, manage relationships, and drive performance across multi-state markets, while ensuring