Senior Director – Payer Contracting

Astrana Health

Senior Director overseeing payer contracting and managed care strategies at Astrana Health. Leading contract negotiations and managing relationships with payers in a hybrid work environment.

Posted 7/9/2026full-timeMonterey Park • California • 🇺🇸 United StatesSenior💰 $175,000 - $185,000 per yearWebsite

About the role

Key responsibilities & impact

Leads contract negotiations, as assigned, including risk-based agreements, fee-for-service negotiations, pay for performance programs, and ACO agreements with health plans
Manages contractual relationships with payers and internal stakeholders
Reviews health plan contract language and is familiar with payor, medical group/IPA, and hospital/ancillary contract language and reimbursement mechanisms
Circulates draft contract terms/language to various internal departments for review & approval
Applies knowledge of healthcare delivery system, IPA operations, managed care, healthcare laws in assisting with the development of contracting strategies
Answers and/or resolves inquiries from health plans or internal departments in a timely manner
Establishes good working relationships with health plan representatives and internal teams
Develops tools (e.g., dashboards, grids, tables, summaries) to provide organizational leadership key contract data
Utilizes applicable financial tools and reports to evaluate performance of current contracts
Interacts and consults with Network Pricing team to evaluate different financial arrangements and recommend applicable payment methodologies
Ensures compliance and consistent contracting across the enterprise.
Manages various ad-hoc project requests with short turnaround time.
Performs other duties as assigned.

Requirements

What you’ll need

Master’s degree and/or Bachelor’s degree or BS/BA in business administration or health care related field of study or equivalent years of experience
Direct experience leading health plan/provider negotiations
Experience with financial models analyzing health plan agreements
At least 10 years prior experience in contracting
Experience in risk-based contracting and associated financial analysis strongly preferred
Ability to close deals under tight deadlines-sense of urgency
Comfortable in negotiating all types contracts from start to finish within defined parameters
Experience with FFS, capitation, and risk sharing arrangements
Experience with government programs (Medicare, Medi-Cal, D-SNP)
Experience working with health plan, provider and hospital counterparts
Knowledge of California payer, Institutional and IPA contracting
Successful experience negotiating contracts for all Lines of Business (Commercial, Medicare, Medicaid, and Accountable Care)
Project management skills/experience
Advanced MS Word capabilities: find & replace, redlining, comment insertion, track changes and document compare
Proficient in MS Excel (including use of functions and pivot tables) and PowerPoint software
Demonstrated ability to work with effectively with multiple different areas within an organization (both internal and external)
Proven ability to work effectively both independently and with teams in a dynamic and fast paced environment
Proven leadership/strategy and organizational skills are required, as well as excellent written and verbal communication skills
Strong interpersonal and communication skills and ability to work effectively with a wide range of constituencies
Experience with healthcare operations, systems, and financial/claims data analysis

Benefits

Comp & perks

Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 1600 Corporate Center Dr. Monterey Park, CA 91754 and 600 City Parkway West, Orange, CA 92868.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at **humanresourcesdept@astranahealth.com**** **to request an accommodation.

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Hard Skills & Tools

Contract NegotiationFinancial ModelingRisk Sharing ArrangementsFFSCapitationMedicareMedi-CalD-SNPContract Language ReviewData Analysis

Soft Skills

Interpersonal SkillsCommunication SkillsLeadership SkillsOrganizational SkillsTeam Collaboration