Director of Contracting

Antidote Health is a tech- driven health insurance company on a mission to make healthcare easy, accessible, and more affordable. We’re rethinking how healthcare works—using technology to remove the friction, complexity, and delays that define the traditional system. Instead of navigating paperwork, long waits, and disconnected experiences, we’re building a simpler, more connected way for people to get care.

Our platform combines health coverage, virtual care, and a modern member experience into one seamless system designed to help people actually use their benefits.

We offer Affordable Care Act (ACA) health plans in Arizona and Ohio, and we’re growing quickly. We’re building a company focused on solving real problems—with real impact on people’s lives.

The Director of Provider Contracting is responsible for developing, negotiating, and managing physician, hospital, behavioral health, and ancillary provider contracts across Antidote Health’s Texas network. With a primary focus on ACA Marketplace and commercial lines of business, this leader will design and implement competitive reimbursement methodologies — including percent of Medicare, case rates, and fee schedules — maintain a high-performing provider network, and drive contracting strategies aligned with Antidote Health’s mission and growth objectives.

Reporting to the Head of Network, this role requires deep expertise in payer-provider contracting within the Texas market, strong financial acumen, and the ability to lead and inspire a team in a dynamic, fast-paced environment. The Director will collaborate cross-functionally with Legal, Finance, Operations, and Product to build and sustain a differentiated provider network.

• Lead the initiation, negotiation, and execution of contracts with physicians, hospitals, behavioral health providers, and ancillary facilities across the Texas market, with a focus on ACA Marketplace and commercial lines of business.
• Structure and apply a range of reimbursement methodologies — including percent of Medicare, case rates, and fee schedules — to achieve competitive, sustainable contract pricing across all provider types.
• Communicate contract terms, payment structures, and rate schedules clearly to internal stakeholders and provider partners.
• Analyze the financial impact of contract terms, model rate scenarios across reimbursement structures, and make data-driven recommendations to leadership.
• Collaborate with Network leadership to design and execute enterprise network strategies aligned with regulatory requirements and market needs.
• Identify network gaps and work proactively to recruit and onboard providers to meet coverage and adequacy standards.
• Maintain up-to-date provider directories, contract documentation, and databases within Antidote Health’s contracting management systems.
• Monitor network performance metrics and lead initiatives to improve provider engagement and contract compliance.
• Act as thought leader in collaboration team of contracting professionals, fostering a culture of accountability, collaboration, and continuous improvement.

• Ensure all provider agreements comply with applicable federal and state regulations, including ACA Marketplace requirements, Texas Department of Insurance rules, and commercial plan standards.
• Provide strategic input into Antidote Health’s broader network and business development plans.
• Stay current on industry trends, regulatory changes, and competitive benchmarks; translate insights into actionable contracting strategies.

• Bachelor’s degree in Business, Healthcare Administration, Finance, or a related field.
• Minimum of 7 years of progressive…