Director Provider Contracting & Relations

How You Will Contribute

• Lead development and execution of provider contracting strategies across markets and provider types, balancing cost, access, quality, network competitiveness, and long-term sustainability.
• Lead and support complex, high-impact negotiations with health systems and other provider partners, including contract renewals, reimbursement arrangements, amendments, new market opportunities, and escalated contractual issues.
• Develop negotiation strategies, objectives, financial parameters, and trade-off scenarios using market intelligence, contract performance, utilization trends, and organizational priorities.
• Evaluate reimbursement methodologies and contract terms, including fee schedules, percent-of-charge arrangements, case rates, bundled arrangements, value-based models, and other alternative payment structures.
• Identify contractual, financial, operational, and relationship risks; develop recommendations and escalation strategies to support informed decision-making.
• Ensure executed agreements and negotiated terms are clearly documented, operationally feasible, and effectively transitioned to the teams responsible for implementation and ongoing administration.

• Build and maintain productive, long-term relationships with provider executives, contracting leaders, and operational partners through transparency, credibility, and consistent follow-through.
• Serve as a senior point of escalation for complex provider relationship matters, balancing partnership objectives with The Alliance’s responsibility to employers and members.
• Monitor provider and contract performance using cost, utilization, access, market, and other available data; identify opportunities for renegotiation, intervention, or strategic development.
• Assess network gaps, provider opportunities, and market dynamics and recommend strategies that strengthen access, affordability, differentiation, and competitive position.
• Partner with providers to resolve systemic issues and improve the effectiveness of the provider relationship and member experience.

• Lead, coach, and develop provider contracting and relations team members; establish clear expectations, decision rights, priorities, and accountability for results.
• Build team capability in negotiation, relationship management, reimbursement strategy, market analysis, project execution, and effective cross-functional partnership.
• Create scalable workflows, standards, documentation, and operating rhythms that support consistent contracting practices and effective management of the provider portfolio.
• Allocate team resources and priorities based on organizational strategy, market needs, contract cycles, and emerging provider opportunities or risks.
• Foster a collaborative, accountable, learning-oriented culture that supports sound judgment, continuous improvement, and strong internal and external relationships.

• Partner closely with Provider Relations leadership and colleagues across Analytics, Finance, Legal, Operations, Business Development/Employer Engagement, and other functions to develop and execute integrated provider strategies.
• Translate employer needs, market feedback, financial analysis, and network performance insights into actionable contracting and provider relationship priorities.
• Provide provider-market expertise and recommendations in organizational planning, product development, growth initiatives, and strategic decision-making.
• Communicate complex contracting issues, market dynamics, risks, and recommendations clearly to executive and senior leadership audiences.
• Ensure key stakeholders are…