The AVP, Provider Strategy and Contracting is a strategic leadership role responsible for overseeing the development, negotiation, execution, and ongoing management of provider contracts across CareCentrix’s network.This role leads provider partnerships, contracting strategy, rate negotiations, adequacy, and performance optimization to support multiple product lines, including durable medical equipment, home infusion therapy, sleep management, and traditional home health.In this role you will develop and implement scalable contracting models and network strategies to build high-performing provider networks. This includes oversight of contract lifecycle management, negotiation frameworks, provider rate setting, and value-based or performance-driven arrangements where applicable. The role partners cross-functionally to enhance network capabilities, ensure adequate provider coverage to meet patient needs, strengthen provider engagement, and drive operational excellence across the provider lifecycle—from contracting and onboarding through performance management and renewal.ResponsibilitiesNetwork Strategy & AdequacyLead the development and execution of enterprise-wide provider network and contacting strategies to ensure network adequacy, competitive positioning, and alignment with business growth objectivesDefine and drive multi-year provider contracting roadmaps, including rate strategy, value-based care models, and risk-sharing arrangementsOversee network design, expansion, and optimization across markets, ensuring alignment to cost-of-care targets, access standards, and product strategyUtilize market intelligence, competitive insights, and performance analytics to inform network composition and contracting prioritiesEnsure network configurations balance cost efficiency, quality outcomes, and provider access including optimization of high performing and preferred provider tiersProvider Network Development, Contracting & OperationsDirect end-to-end provider network development, including contracting strategy, negotiation execution, reimbursement methodologies, and ongoing performance managementEstablish and implement innovative contracting models (e.g. value-based care, bundled payments, shared savings, capitation where appropriate) to drive cost, quality, and experience outcomesLead complex provider negotiations with health systems, specialty providers, and ancillary partners, ensuring alignment with financial targets and strategic prioritiesIdentify and executive opportunities to strengthen network performance through contract optimization, utilization management alignment, and provider incentivesOversee network capacity planning, coverage adequacy, and provider mix optimization to meet demand and growth projectionsDrive enhancements to provider-facing tools, systems, and processes to improve operational efficiency and experienceEnsure all network initiatives and contracting programs delivery against defined KPIs, including affordability, unit cost reductions, ROI and performance guaranteesProgram Product & Contracting AlignmentPartner with Product, Clinical, and Market leaders to align network capabilities with product design and clinical program requirementsEnsure provider contracts and reimbursement structures support new product features, care models and clinical program requirementsEnable scalable network and contracting solutions to support new market entry, product launches, and client-specific configurationsLead the development of network-related program capabilities and positioning to support client growth and retentionPipeline, Growth & InnovationPartner closely Sales, Underwriting, Medical Economics, and Actuarial teams to align network contracting strategy with pricing, underwriting assumptions and growth targetsSupport pre-sale and post-sale activities through network strategy articulation, provider disruption analysis, and competitive positioningEnsure timely adaptation of network models in response to evolving healthcare landscape and client needsCross-Functional LeadershipServe as a key liaison between Network Management, Product / Network Analytics, Medical Economics, Provider Experience, Clinical Operations, Compliance, Revenue Cycle Management (RCM), Implementations and Operations teamsAlign stakeholders around contracting strategies, financial targets, and execution plans, ensuring seamless operationalizationProvide strategic input into enterprise priorities, including cost-of-care management, provider partnerships, and long-term growth strategyExternal Engagement & Provider PartnershipsRepresent CareCentrix in executive-level negotiations with provider organizations, health systems and strategic partnersBuild and maintain strong, collaborative provider relationships that enable favorable contracting outcomes and long-term partnership valueQualificationsBachelor’s degree required; Master’s or MBA strongly preferred8–12+ years of experience in healthcare, with significant focus on provider network development, contract negotiations operations, provider credentialing, provider communications/engagement and strategyDemonstrated experience building and managing provider networks, including network adequacy and market expansionExperience leading cross-functional initiatives and influencing senior stakeholdersStrong understanding of healthcare delivery models, ideally within home health or post-acute careProven ability to drive operational improvements, manage complex programs, and lead high-performing teamsStrategic thinking with strong execution orientationData-driven decision-making and analytical capabilityExcellent communication and stakeholder management skillsAbility to lead through change and ambiguityStrong problem-solving and organizational leadership skillsWhat We OfferWhat We Offer: Pay Range: $180000 – $226000 / (year) plus corporate bonus incentive. The pay range included in this posting reflects future growth / earning potential. Benefits: Medical, Dental, Vision, 401(k) with company match, HSA employer contributions, Dependent Care FSA employer contribution, Paid Time Off, Personal/Sick Time, Paid Parental Leave, and more. Award winning culture: Keeps our company values at the heart of everything we do: We Care; We Do the Right Thing; We Strive for Excellence; We Think BIG; We Take our Work Seriously, Not Ourselves. #IDCC CareCentrix maintains a drug-free workplace. We are an equal opportunity employer. Employment selection and related decisions are made without regard to age, race, color, national origin, religion, sex, disability, sexual orientation, gender identification, or being a qualified disabled veteran or qualified veteran of the Vietnam era or any other category protected by Federal or State law. CareCentrix accepts applications on an ongoing basis until a candidate is identified.
