Senior Network Contracting Lead — Value-Based Care

CareMore Health

California

On-site

USD 130,000 - 195,000

Full time

8 days ago

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Job summary

CareMore Health in California is seeking a Network Contracting Lead, a senior individual contributor who develops, negotiates, and manages complex provider agreements to support care delivery, network strategy, and value-based initiatives. You will collaborate with Finance, Legal, Clinical Leadership, Provider Relations, Market Operations, and executives to drive access, cost efficiency, and outcomes.

The role emphasizes independence and strategic advisory in network development and

Qualifications

  • Experience negotiating provider contracts and managing complex agreements.
  • Ability to evaluate reimbursement methodologies and contract structures.
  • Strong cross-functional collaboration with Finance, Legal, Clinical Leadership, and Operations.

Responsibilities

  • Lead provider contract negotiations with physician groups, hospitals, and other partners.
  • Develop contracting strategies aligned with CareMore's clinical model and financial objectives.
  • Evaluate terms, performance requirements, and value-based arrangements for sustainability.
  • Manage renewals, amendments, and negotiations with minimal disruption to care delivery.
  • Partner with market and clinical leadership to optimize provider networks and access.

Skills

Provider contract negotiation
Contract negotiations
Network development
Value-based reimbursement
Cross-functional collaboration
Regulatory compliance
Strategic advisory
Contract management

Job description

CareMore Health in California is seeking a Network Contracting Lead, a senior individual contributor who develops, negotiates, and manages complex provider agreements to support care delivery, network strategy, and value-based initiatives. You will collaborate with Finance, Legal, Clinical Leadership, Provider Relations, Market Operations, and executives to drive access, cost efficiency, and outcomes.

The role emphasizes independence and strategic advisory in network development and

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