Strategic Network Contracting Director

CareMore Health; California; On-site; USD 157,000 - 236,000; Full time

Job summary

CareMore Health in California is seeking a Network Contracting Director to lead the strategy, development, medical expense management, and oversight of the hospital and ancillary provider networks. You will supervise a small team responsible for negotiating, implementing, and administering agreements for Medicare Advantage, Medicaid, and other managed care populations.

The role emphasizes strategic leadership, cost control, value-based contracting, governance, analytics, and cross-functional

Qualifications

• Leadership in healthcare network contracting and payer strategies
• Strong financial and analytic capabilities for contract evaluation

Responsibilities

• Lead contracting strategy for hospital and ancillary networks.
• Oversee negotiations and implementation of agreements with Medicare Advantage, Medicaid and other programs.
• Monitor contract performance and drive cost-of-care reductions.
• Partner with Finance, Local Markets, Clinical Operations, Utilization Management and Strategy.

Job description

CareMore Health in California is seeking a Network Contracting Director to lead the strategy, development, medical expense management, and oversight of the hospital and ancillary provider networks. You will supervise a small team responsible for negotiating, implementing, and administering agreements for Medicare Advantage, Medicaid, and other managed care populations.

The role emphasizes strategic leadership, cost control, value-based contracting, governance, analytics, and cross-functional