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Network Strategy Director – Preferred Experience in Managed Care
CareSource. Lead negotiation of CareSource's largest and most strategically significant provider agreements, including major health systems, multi-market IDNs, and national/DME vendor contracts .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider contracting, negotiation strategies, and reimbursement methodologies, with a strong focus on designing innovative contract structures and leading complex negotiations. Proven ability to mentor and guide teams while navigating financial and regulatory complexities in high-stakes environments.
Highest-signal resume keywords
Provider Contracting ExperienceExpert-Level NegotiationReimbursement Methodology KnowledgeComplex Risk AnalysisMentorship and Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract Law FundamentalsValue-Based Contract DesignRisk-Based Contract StructuresFinancial StructuringDeal Architecture
Soft Skills
Executive PresenceStrategic ThinkingMentorship
Industry Keywords
Health SystemsIDNsProvider AgreementsNegotiation TechniquesContracting Methodologies
About the role
Key responsibilities & impact- Lead negotiation of CareSource's largest and most strategically significant provider agreements, including major health systems, multi-market IDNs, and national/DME vendor contracts
- Serve as the enterprise subject-matter expert on contracting strategy, reimbursement methodology, and deal structuring
- Advise leadership on negotiation approach for highest-stakes deals
- Design and pilot novel contract structures, including advanced VBC arrangements, risk corridors, and performance-based rate mechanisms
- Mentor contracting professionals enterprise-wide on negotiation techniques, deal structuring, and complex contracting methodologies
- Partner cross-functionally to resolve complex contractual, financial, and regulatory issues
- Represent National Network Development in executive-level provider discussions and market-facing negotiations
- Own strategic renewal planning for highest-exposure agreements in 90/180/365-day renewal windows
- Contribute contracting expertise to new market entry readiness, network optimization pilots, and VBC expansion strategy
- Perform other job-related duties as requested
Requirements
What you’ll need- Bachelor's degree in business related field required, or equivalent years of relevant work experience in lieu of required education
- Eight (8) years provider contracting experience required
- Demonstrated track record leading complex, high-dollar, multi-stakeholder negotiations independently
- Direct experience negotiating with major health systems or IDNs preferred
- Experience designing value-based or risk-based contract structures preferred
- Expert level knowledge of reimbursement methodology and contract law fundamentals
- Ability to design and defend novel contract structures
- Sophisticated financial and risk analysis
- Expert-level negotiation and deal architecture
- Enterprise strategic thinking
- Executive presence and provider-facing credibility
- Mentorship and technical leadership without formal authority
- Complex risk and financial structuring
- Up to 15% occasional travel may be required
Benefits
Comp & perks- Bonus tied to company and individual performance may be available
- Substantial and comprehensive total rewards package
- Total well-being support