AVP, Hospital & Integrated Delivery System

About the Role

The AVP, Hospital and Integrated Delivery System (IDS) Network Contracting provides leadership for the Massachusetts market's provider contracting strategy across hospitals, health systems, and related physician organization networks. This role is responsible for developing and executing network and reimbursement strategies that ensure competitive access, affordability, quality, regulatory compliance, and value-based performance.

Responsibilities

• Develop and execute the Massachusetts contracting strategy for hospitals, integrated delivery systems, and related physician organization networks.
• Lead in the establishment of contracting priorities, performance expectations, succession planning, and talent development.
• Balance network adequacy, affordability, quality outcomes, member access, and provider relationships while achieving financial targets.
• Ensure competitive reimbursement methodologies are deployed, including value-based arrangements, shared savings, and risk-based contracts where applicable.
• Partner with Finance, Actuarial, Clinical, Legal, Compliance, Medical Management, and Executive Leadership to align contracting strategy with enterprise objectives.
• Analyze market dynamics, competitive intelligence, utilization trends, and regulatory changes to identify strategic opportunities and risks.
• Build and maintain executive-level relationships with provider organizations, regulators, and community stakeholders.
• Perform any other job-related duties as requested.

Requirements

• Bachelor’s Degree required.
• Master’s Degree in Business or Health Care preferred.
• Ten (10) years of progressively responsible healthcare provider contracting experience.
• Extensive experience negotiating complex hospital, physician, and integrated delivery system agreements.
• Seven (7) years of leadership experience managing contracting teams and senior leaders preferred.
• Experience with Medicare Advantage, Medicaid, Dual Eligible programs, and value-based payment models preferred.
• Professional certification (HFMA, ACHE, or similar) preferred.
• Must have a valid driver’s license, vehicle, and verifiable insurance.
• Annual Influenza vaccination required as a condition of continued employment (October 1 – March 31).

Skills

• Executive leadership and strategic planning.
• Complex provider negotiations and executive influence.
• Financial acumen and reimbursement modeling.
• Knowledge of provider network strategy, regulatory requirements, and value-based care.
• Exceptional communication, executive presence, and relationship management.
• Data-driven decision making and analytical skills.
• Change leadership and organizational transformation.
• Ability to build high-performing, accountable teams.
• Conflict resolution and consensus building.
• Strong project, portfolio, and stakeholder management.

Working Conditions

• General office environment; may require sitting or standing for extended periods.
• Regular movement between multiple building sites required.
• Must be able to work a flexible schedule to support changing and emerging needs.
• Up to 50% (frequent) travel based on department needs.

Pay

$150,000 - $300,000. Salary is based on a combination of education, training, experience, scope and complexity of the role, discretion and latitude required, and other external and internal data. In addition to base compensation, you may qualify for a bonus tied to company and individual performance.

Benefits

CareSource offers a substantial and comprehensive total rewards package focused on every employee’s total well-being.