Senior Director, Contracting

Jobtailor; Rancho Cucamonga (CA); On-site; USD 150,000 - 210,000; Full time

Job summary

Jobtailor in California seeks a senior Director of Contracting to lead organization-wide contracting strategies, build a high-performing provider network, and ensure compliance with state and federal requirements.

You will negotiate complex deals, collaborate across Compliance, Finance, Legal, Product and Quality, and drive improvements across the contract lifecycle while mentoring a talented team.

Qualifications

• Minimum 7 years’ progressive experience in network contracting and at least 5 years in a leadership role.
• Experience with Medicaid, Medicare and Marketplace government-sponsored programs.
• Bachelor’s degree required; Master’s degree preferred.
• California Driver’s License preferred.
• Extensive knowledge of network development, managed care delivery systems, and health plan operations.
• Deep understanding of contracting structures, alternative payment methodologies, risk-based arrangements, regulatory requirements, contract performance evaluation, and reimbursement methodologies.
• Exceptional analytical, strategic planning, and problem-solving skills.
• Strong leadership capabilities with demonstrated success managing teams, developing talent, and driving cross-functional collaboration.

Responsibilities

• Provide strategic leadership in developing, implementing, and overseeing organization-wide contracting strategies.
• Oversee and guide complex negotiations, ensuring timely execution, operational feasibility, and compliance.
• Collaborate with Compliance, Finance, Legal, Product, Provider Experience, and Quality departments.
• Develop and implement strategies supporting state and federal regulations and NCQA requirements.
• Drive operational excellence across the contract lifecycle from intake to execution.
• Establish SLAs, prioritization frameworks, and performance metrics for contracting activities.
• Identify and implement system enhancements improving efficiency and user experience.
• Ensure accurate tracking, visibility, and reporting of contract volumes, cycle times, and bottlenecks.
• Own development, maintenance, and continuous improvement of contract templates and standard language.
• Provide executive leadership with visibility into contracting activities, trends, and risks.
• Foster a high-performing, solutions-oriented culture focused on quality and cross-functional partnership.
• Hire, train, and manage support staff; monitor and evaluate outcomes.
• Conduct performance reviews according to IEHP guidelines.
• Perform other duties required to support Health Plan operations and department business needs

Skills

Network contracting

Leadership experience

Strategic planning

Analytical skills

Negotiation skills

Relationship-building

Communication skills

Cross-functional collaboration

Education

Bachelor’s degree

Master’s degree preferred

Job description

• Provide strategic leadership in developing, implementing, and overseeing organization-wide contracting strategies
• Ensure a robust, high-performing provider network supporting current and future product lines and organizational goals
• Oversee and guide complex negotiations, ensuring timely execution, operational feasibility, and compliance
• Collaborate with Compliance, Finance, Legal, Product, Provider Experience, and Quality departments
• Develop and implement strategies supporting state and federal regulations and NCQA requirements
• Drive operational excellence across the contract lifecycle from intake to execution
• Establish SLAs, prioritization frameworks, and performance metrics for contracting activities
• Identify and implement system enhancements improving efficiency and user experience
• Ensure accurate tracking, visibility, and reporting of contract volumes, cycle times, and bottlenecks
• Own development, maintenance, and continuous improvement of contract templates and standard language
• Provide executive leadership with visibility into contracting activities, trends, and risks
• Foster a high-performing, solutions-oriented culture focused on quality and cross-functional partnership
• Hire, train, and manage support staff; monitor and evaluate outcomes
• Conduct performance reviews according to IEHP guidelines
• Perform other duties required to support Health Plan operations and department business needs

Requirements

• A minimum of 7 years’ progressive experience in network contracting and at least 5 years of leadership experience
• Experience with various managed care compensation methodologies related to Medicaid, Medicare and Marketplace government-sponsored programs
• Bachelor’s degree in a related field from an accredited institution required
• Master’s degree in a related field from an accredited institution preferred
• Valid California Driver’s License preferred
• Extensive knowledge of network development, managed care delivery systems, and health plan operations
• Deep understanding of contracting structures, alternative payment methodologies, risk-based arrangements, regulatory requirements, contract performance evaluation, and reimbursement methodologies
• Exceptional analytical, strategic planning, and problem-solving skills
• Strong leadership capabilities with demonstrated success managing teams, developing talent, and driving cross-functional collaboration
• Outstanding communication, negotiation, relationship-building, and organizational skills
• Ability to cultivate and sustain high-impact, collaborative relationships with providers and key stakeholders
• Ability to strategically manage complex, competing priorities and deliver results under tight deadlines
• Ability to shape, lead, and execute enterprise-level provider contracting and network development strategies

Core Competencies

Demonstrates extensive knowledge of network development, managed care delivery systems, and health plan operations, with a strong focus on strategic leadership in contracting strategies and compliance with state and federal regulations. Proven ability to drive operational excellence and foster collaborative relationships with providers and stakeholders.

Highest-signal resume keywords

• Network Contracting
• Managed Care Compensation Methodologies
• Contract Performance Evaluation
• Leadership Experience
• Regulatory Compliance

Hard Skills

• Contracting Strategies
• Operational Excellence
• Performance Metrics
• Contract Lifecycle Management
• Risk-Based Arrangements
• Reimbursement Methodologies
• Strategic Planning
• Analytical Skills
• Negotiation Skills
• Problem-Solving Skills

Soft Skills

• Leadership Capabilities
• Relationship-Building
• Organizational Skills
• Cross-Functional Collaboration
• Communication Skills

Certifications & Qualifications

• Bachelor’s Degree
• Master’s Degree
• California Driver’s License

Industry Keywords

• Health Plan Operations
• NCQA Requirements
• Medicaid
• Medicare
• Marketplace Programs