Sr. Director, Care Delivery Org, Value Care Contracting

Job Responsibilities

Lead Value-Based Contracting Strategy and Execution. Develop and execute a value-based contracting strategy aligned to the CDO's total cost and quality goals — partnering with Corporate Contracting, Network Development, and Market Leadership to design alternative payment models, identify new contracting initiatives, and negotiate high-value contracts with complex arrangement structures including IPAs, large physician groups, health systems, and other provider entities. Own the full contracting cycle from planning and document creation through negotiation, execution, and submission for loading.

Negotiate and Manage Complex Provider Arrangements. Lead negotiation of the organization's most complex provider contracts — requiring deep understanding of providers' volume and cost structure, cross-functional collaboration to identify critical negotiation levers, and alignment of negotiation strategy with network accessibility, quality, compliance, and financial performance goals. Attend and facilitate external provider meetings and negotiations as required, ensuring all arrangements are structured to achieve MSO targets while building durable, productive provider relationships.

Drive Value-Based Strategic Planning and Contract Performance Oversight. Partner with key stakeholders and internal teams to develop a value-based strategic plan and oversee contract performance with targeted provider groups — ensuring the organization meets objectives across all value-based provider agreements. Assist in the evaluation, formulation, and implementation of network strategic plans to achieve contracting targets and manage medical costs through effective value-based arrangements.

Analyze Medical Claims Data and Financial Performance. Review medical claims data, analyze cost trends, and develop executive summaries that identify opportunities for mitigating medical cost trend. Apply financial modeling capabilities to assess provider performance, model risk-based contract scenarios, and support the business case for contract structures, alternative payment models, and cost improvement initiatives.

Lead and Develop the Contracting Team. Build, lead, and manage a team of contracting professionals — setting clear performance expectations, developing staff capability, and ensuring the team has the tools, data, and guidance needed to execute complex value-based contracts effectively. Model a high standard of contracting discipline, relationship management, and analytical rigor across the team.

Coordinate Cross-Functional Contract Support. Provide assistance and coordination to internal departments — including HEDIS, Credentialing, Grievance & Appeals, SIU, and Member Services — to obtain required information from providers and ensure contract-related data flows accurately across systems and teams. Coordinate provider status information with member services and internal operational partners to ensure contract execution is reflected across the organization.

Lead Complex Cross-Functional Projects and Programs. Lead the work and deliverables of complex, multi-stakeholder contracting projects from assessment through implementation — including projects that span multiple processes, systems, functions, and lines of business. Ensure project milestones are met, stakeholders are aligned, and deliverables are completed on schedule and to standard.

Other duties and projects not listed above

This role carries full people management authority over the MSO Contracting team. Directly supervises contracting staff and is responsible for all supervisory functions including recruiting, onboarding, coaching, performance management, and retention.

Supervisory Responsibilities:

Fulfill…