Director – Hospital Contracting, CA Market

Astrana Health

. Partner closely with the VP of Contracting to develop and execute hospital contracting strategies across the organization .

Posted 10/10/2026full-timeMonterey Park • California • United StatesLead💰 $135,000 - $160,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in healthcare contracting strategies, negotiation of managed care agreements, and financial analysis to optimize hospital partnerships and performance. Proven ability to lead teams and collaborate across departments to implement effective contract terms and support value-based initiatives.

Highest-signal resume keywords

Healthcare Contracting ExperienceNegotiation of Managed Care AgreementsHospital Reimbursement MethodologiesFinancial Analysis and ModelingLeadership and Team Management

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Contract NegotiationFinancial Performance AnalysisReimbursement Structure EvaluationRisk Allocation ProvisionsValue-Based Payment ModelsManaged Care AgreementsProject LeadershipContract Workflow ManagementHospital Utilization AnalysisRegulatory Requirements Knowledge

Soft Skills

Relationship ManagementCollaborationMentoring

Tools & Technologies

Microsoft ExcelMicrosoft WordMicrosoft PowerPointEZ-CAP

Industry Keywords

Healthcare AdministrationManaged CareRisk-Based ContractingAlternative Payment ArrangementsCalifornia Managed Care Contracting

About the role

Key responsibilities & impact

Partner closely with the VP of Contracting to develop and execute hospital contracting strategies across the organization
Lead negotiations and ongoing relationship management with hospitals, integrated delivery systems, academic medical centers, and other facility-based providers
Develop and execute hospital contracting strategies supporting network expansion, market competitiveness, affordability, and financial performance
Analyze hospital utilization, reimbursement models, and financial performance to support contract negotiation strategies
Negotiate complex inpatient, outpatient, behavioral health, post-acute, and ancillary service agreements
Manage DOFR agreements, hospital amendments, Letters of Agreement, and corrective action plans
Evaluate contractual language, reimbursement structures, risk allocation provisions, and regulatory requirements
Serve as the primary contracting escalation point for hospital and health system partners
Collaborate with Finance, Network Management, Operations, Claims, Configuration, and Business Development teams to implement hospital contract terms
Monitor hospital contract performance, identify rate optimization opportunities, and address network access or financial performance concerns
Support value-based and risk-sharing initiatives involving hospital systems and facility partners
Prepare analyses and recommendations on hospital network strategy, reimbursement trends, financial impact, and market opportunities
Lead and mentor contracting staff while overseeing contract workflow and negotiation priorities
Perform other duties as assigned

Requirements

What you’ll need

Bachelor's degree in Business Administration, Healthcare Administration, Finance, or related field; equivalent experience considered
5+ years of healthcare contracting experience with significant experience negotiating directly with hospitals or health systems
Experience negotiating managed care agreements and risk-based contracting arrangements
Demonstrated success negotiating managed care agreements against hospitals and health systems
Strong understanding of hospital reimbursement methodologies including DRG, per diem, case rate, APC, carve-out, and value-based payment models
Experience leading projects and teams within a managed care, health plan, MSO, IPA, or provider organization environment
Experience working with delegated risk, capitation, Restricted Knox-Keene (RKK), dual risk, global risk, MSSP, ACO, or other alternative payment arrangements
Proven ability to analyze financial models, contract language, and reimbursement structures to support negotiations
Knowledge of California managed care contracting and delegated healthcare models required
Advanced Microsoft Excel, Word, and PowerPoint skills
Experience with EZ-CAP or similar healthcare administration and managed care platforms

Benefits

Comp & perks

Hybrid work structure with work both in office and at home on a weekly basis
Equal Employment Opportunity and Affirmative Action employer
Reasonable application accommodations for disabilities