AVP of Provider Contracting driving strategies in healthcare across Cleveland and Northern Ohio. Leading a contracting team and managing provider relationships to improve care quality and affordability.
Responsibilities
Lead and develop a high‑performing contracting team, creating a culture of growth, collaboration, and accountability.
Drive contracting and network strategies across Commercial and other product lines to strengthen our market position.
Negotiate complex fee‑for‑service and value‑based contracts with health systems, hospitals, and large provider groups to improve affordability and quality.
Champion cross‑market and cross‑functional initiatives that support broader business goals.
Build trusted, long‑term partnerships with providers to expand value‑based opportunities and deliver on local market strategy.
Work closely with matrix partners—including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Service—to support smooth network operations.
Identify opportunities for deeper value orientation and new risk‑based arrangements that improve total medical cost.
Manage financial impact analysis, performance projections, and scenario modeling for high‑value and complex contracts.
Oversee provider relationship management to ensure strong communication, collaboration, and results.
Maintain a clear understanding of the competitive landscape and provider interrelationships across assigned geographic markets.
Ensure accurate and timely contract loading, submissions, and network implementation activities.
Requirements
Minimum 5 years of provider contracting and negotiation experience with complex delivery systems.
Experience leading or mentoring direct reports and guiding talent development.
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