Senior Director, Provider Contracting & Networks

BrightSpring Health Services; Cleveland (OH); On-site; USD 130,000 - 150,000; Full time

Job summary

BrightSpring Health Services in Cleveland, OH seeks a Director of Contracting to lead provider contracts and network management across markets. You will design network strategies, negotiate terms, and drive value-based initiatives with finance and compliance partners.

The role demands strategic leadership, strong negotiation skills, and experience in managed care contracting, with responsibility for budgets, analytics, and cross-functional collaboration.

Qualifications

• At least 5 years of experience in managed care, health plan operations, provider contracting, or network management.
• Proven progress from operational to strategic leadership roles.
• Prior experience negotiating complex provider contracts (hospital systems, physician groups, ancillary providers).
• Experience with value-based contracting, risk sharing, capitation, bundled payments, shared savings, etc.
• Demonstrated ability to manage and develop teams.

Responsibilities

• Develop, lead and execute provider network strategies to ensure access across geographies and specialties.
• Negotiate contracts with hospitals, physician groups, ancillary providers, and facility partners.
• Manage contract lifecycle: drafting, reviewing, executing, renewing, amending, termination.
• Structure payment models including fee-for-service, capitation, bundled payments, shared savings.
• Oversee provider data integrity, delegation oversight, and provider performance.
• Coordinate with legal, finance, compliance, claims, and member services.
• Lead operational functions such as network administration and provider directory maintenance.
• Monitor regulatory compliance and ensure alignment with quality and cost targets.

Skills

Network design

Contract negotiations

Team leadership

Provider relations

Education

Bachelor's degree

Job description

BrightSpring Health Services in Cleveland, OH seeks a Director of Contracting to lead provider contracts and network management across markets. You will design network strategies, negotiate terms, and drive value-based initiatives with finance and compliance partners.

The role demands strategic leadership, strong negotiation skills, and experience in managed care contracting, with responsibility for budgets, analytics, and cross-functional collaboration.