Senior Provider Contracting Executive

Essential Duties & Responsibilities

• Provide executive leadership for physician, hospital, and health system contracting across all markets.
• Mentor and develop the provider contracting team, setting clear expectations and accountability.
• Own contracting strategy across fee-for-service and value-based care arrangements.
• Lead complex provider and health system negotiations, serving as the primary escalation point.
• Partner with clinical, finance, legal, and operations leaders to align contracts with reimbursement models, quality goals, and care delivery strategy.
• Establish and monitor contracting performance metrics, including financial impact, network adequacy, and provider performance.
• Analyze market trends, cost drivers, and utilization data to inform contracting decisions and executive recommendations.
• Oversee the full contract lifecycle, including negotiation, execution, renewals, amendments, and compliance tracking.
• Ensure contracting processes, systems, and documentation align with regulatory requirements and internal governance standards.
• Support budgeting, forecasting, and financial modeling related to provider contracts.
• Ensure audit readiness and adherence to federal, state, and payer requirements.
• Other duties as assigned.

Qualifications

• Bachelor’s degree required; Master’s degree preferred.
• Equivalent experience may be considered in lieu of degree.
• Eight (8)+ years of experience in provider contracting, network strategy, or managed care operations, including senior-level leadership responsibility.
• Deep expertise in physician, hospital, and health system contracting, including value-based arrangements.
• Proven success leading high-stakes negotiations and managing complex provider relationships.
• Strong executive presence with excellent communication and stakeholder management skills.
• Demonstrated ability to use financial, quality, and utilization data to drive strategic decisions.
• Experience building scalable contracting processes, governance models, and teams.