EXECUTIVE DIRECTOR STRATEGIC CONTRACTING

Summary

The Executive Director, Strategic Contracting reports to the VP of Payer Strategies and serves as the senior leader responsible for payer contract strategy, negotiation architecture, reimbursement design, and contracting governance across Moffit Cancer Center's multi-billion-dollar Contact Portfolio which includes Commercial and Medicare Advantage contracts.

About the role

This role should be reserved for an executive who has personally led complex provider-side negotiations and can translate oncology economics, market leverage, and access priorities into durable contract terms. This role oversees all commercial and managed care contract negotiations across the Cancer Center, including hospital, employed physician group, and specialty service agreements such as BMT and CAR-T.

Responsibilities

• Oversees all commercial and managed care contract negotiations across the Cancer Center, including hospital, employed physician group, and specialty service agreements such as BMT and CAR-T.
• Manages the development and integration of value-based payment arrangements with Moffitt Medical Group physicians.
• Negotiates fee-for-service contracts and alternative payment models, including bundled payments, shared savings, and risk-based agreements.
• Develops and executes negotiation strategies related to contract terms and conditions, including identifying operational and financial challenges, improving contract language, enhancing revenue collection, and reducing administrative complexity.
• Advances pricing strategies and contractual terms that align with organizational priorities and designs proactive initiatives with third parties to improve financial performance and operational efficiency.
• Owns contract language strategy and identifies provisions that create downstream clinical, operational, or financial risk, including unilateral amendment clauses, vague policy incorporation, restrictive authorization terms, narrow medical necessity definitions, recoupment provisions, and unfavorable termination language.
• Fosters strong payer relationships by conducting regular meetings with senior health plan leadership.
• Develops oncology specific negotiation positions tied to drug administration, specialty pharmacy, infusion reimbursement, radiation treatment, advanced therapies, and payer policies that can materially affect access or margin.

Requirements

• A minimum of ten (10) years' experience in managed care, healthcare finance, strategy, or healthcare management directing and managing all aspects of third party contracting within a complex health system.
• At least six (6) years managed care experience in the health care provider or payer setting, executing third party negotiations with appropriate communications, analytics, and results.
• At least four (4) years management experience.

Qualifications

• Bachelor's Degree in Healthcare, business, Law or related field.
• Master's Degree in Healthcare, business, Law (Juris Doctor JD preferred) or related field.

Skills

• Comprehensive knowledge and understanding of managed care principles and practices with strong strategic skills in development of new relationships and new payment models.
• Demonstrated experience in reimbursement analytics and managed care contract negotiations in a hospital or payer environment.
• Demonstrated experience in negotiating various reimbursement methodologies in a hospital or payer environment.
• Maintains knowledge and understanding of the current trends and developments in healthcare reimbursement and payer strategy.
• Comprehensive knowledge of managed care pricing and experience setting appropriate price levels for services rendered.
• Excellent interpersonal, problem solving, and leadership skills.
• Excellent negotiation skills including the ability to influence those over whom he/she has no formal authority.
• Demonstrated competence in building and leading effective and cohesive teams in a matrix environment.
• Ability to build and maintain strong business relationships with internal and external clients.
• Excellent written, oral, and presentation skills to clearly communicate and define strategies and resulting impacts to stakeholders.