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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 professionals and collaborate cross-functionally to address contractual and financial challenges.
Highest-signal resume keywords
Provider Contracting ExperienceExpert-Level NegotiationReimbursement Methodology KnowledgeValue-Based Contract DesignStrategic Renewal Planning
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 FundamentalsRisk AnalysisDeal ArchitectureFinancial StructuringComplex Negotiation
Soft Skills
MentorshipExecutive PresenceCross-Functional Collaboration
Industry Keywords
Health SystemsIDNsVBC ArrangementsPerformance-Based Rate MechanismsMarket Entry Readiness
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 approaches for high-stakes deals
- Design and pilot novel contract structures, including advanced VBC arrangements, risk corridors, and performance-based rate mechanisms
- Mentor contracting professionals enterprise-wide
- 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 using 90/180/365-day windows
- Contribute contracting expertise to enterprise initiatives such as 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 a business-related field required
- Equivalent years of relevant work experience may be accepted in lieu of required education
- Eight (8) years of 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
- Comprehensive total rewards package
- Employee total well-being support