Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.
Reporting to Chief of Contracting and Market Management, The AVP of Contracting & Network Management is a senior leadership role responsible for the strategic development, negotiation, and execution of provider network contracts, with a primary emphasis on hospital systems. Accountable for driving high-performing, cost-effective networks, this role leads complex hospital negotiations while overseeing broader provider contracting across IPAs, medical groups, physicians, and ancillary providers. In alignment with corporate standards, the AVP drives innovative contracting strategies, optimizes network design, and advances next-generation care models for Medicare Advantage populations. This leader partners closely with executive leadership to ensure network competitiveness, strong financial performance, and full regulatory compliance.
Position Summary:
Reporting to Chief of Contracting and Market Management, The AVP of Contracting & Network Management is a senior leadership role responsible for the strategic development, negotiation, and execution of provider network contracts, with a primary emphasis on hospital systems. Accountable for driving high-performing, cost-effective networks, this role leads complex hospital negotiations while overseeing broader provider contracting across IPAs, medical groups, physicians, and ancillary providers. In alignment with corporate standards, the AVP drives innovative contracting strategies, optimizes network design, and advances next-generation care models for Medicare Advantage populations. This leader partners closely with executive leadership to ensure network competitiveness, strong financial performance, and full regulatory compliance.
General Duties/Responsibilities (May include but are not limited to):
Hospital Contracting Strategy & Execution
Enterprise Provider Contracting Oversight
Innovation & Value-Based Care
Network Strategy & Design
Financial & Analytical Leadership
Leadership & Operational Excellence
Cross-Functional Collaboration
Compliance & Risk Management
Supervisory Responsibilities:
Oversees assigned staff that support the network management needs of the markets. Responsibilities include: recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees.
Minimum Requirements:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.The requirements listed below are representative of the knowledge, skill, and/or ability required.Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Experience: 10+ years of experience in healthcare contracting and network management, with deep expertise in hospital contracting.
Education/Licensure: Requires a BA/BS; MBA strongly preferred.
Other: Deep expertise in Medicare Advantage contracting, including reimbursement methodologies, contract structuring and language, negotiation strategy, financial modeling, and managed care.
Proven success negotiating complex agreements with large hospital systems and IDNs.
Strong understanding of value-based care and risk-based reimbursement arrangements.
Demonstrated leadership experience with the ability to build, lead, and scale high-performing teams.
Advanced analytical, financial modeling, and strategic thinking capabilities.
Exceptional communication skills and executive presence.
Proven ability to develop and execute network strategies that drive performance.
Strong collaboration skills, with the ability to influence, gain buy-in, and incorporate diverse perspectives.
Proficiency in Microsoft Office (Word, Excel, PowerPoint).
Experience with delegated and non-delegated provider models.
Demonstrated ability to manage and optimize medical cost through network strategies.
Travel up to 25%, as needed.
Strong organizational and project management skills.
Work Environment: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Essential Physical Functions:
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.
If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.
Pay Range: $172,364.00 - $258,547.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.
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