AVP – Provider Strategy, Contracting

CareCentrix

AVP, Provider Strategy & Contracting responsible for provider partnerships and contracting strategy at CareCentrix. Leading negotiation, execution, and management of provider contracts for multiple product lines.

Posted 6/17/2026full-timeRemote • 🇺🇸 United StatesLead💰 $180,000 - $225,000 per yearWebsite

About the role

Key responsibilities & impact

Lead the development and execution of enterprise-wide provider network and contacting strategies to ensure network adequacy, competitive positioning, and alignment with business growth objectives
Define and drive multi-year provider contracting roadmaps, including rate strategy, value-based care models, and risk-sharing arrangements
Oversee network design, expansion, and optimization across markets, ensuring alignment to cost-of-care targets, access standards, and product strategy
Utilize market intelligence, competitive insights, and performance analytics to inform network composition and contracting priorities
Ensure network configurations balance cost efficiency, quality outcomes, and provider access including optimization of high performing and preferred provider tiers
Direct end-to-end provider network development, including contracting strategy, negotiation execution, reimbursement methodologies, and ongoing performance management
Establish and implement innovative contracting models (e.g. value-based care, bundled payments, shared savings, capitation where appropriate) to drive cost, quality, and experience outcomes
Lead complex provider negotiations with health systems, specialty providers, and ancillary partners, ensuring alignment with financial targets and strategic priorities
Identify and executive opportunities to strengthen network performance through contract optimization, utilization management alignment, and provider incentives
Oversee network capacity planning, coverage adequacy, and provider mix optimization to meet demand and growth projections
Drive enhancements to provider-facing tools, systems, and processes to improve operational efficiency and experience
Ensure all network initiatives and contracting programs delivery against defined KPIs, including affordability, unit cost reductions, ROI and performance guarantees
Partner with Product, Clinical, and Market leaders to align network capabilities with product design and clinical program requirements
Ensure provider contracts and reimbursement structures support new product features, care models and clinical program requirements
Enable scalable network and contracting solutions to support new market entry, product launches, and client-specific configurations
Lead the development of network-related program capabilities and positioning to support client growth and retention
Partner closely Sales, Underwriting, Medical Economics, and Actuarial teams to align network contracting strategy with pricing, underwriting assumptions and growth targets
Support pre-sale and post-sale activities through network strategy articulation, provider disruption analysis, and competitive positioning
Ensure timely adaptation of network models in response to evolving healthcare landscape and client needs
Serve as a key liaison between Network Management, Product / Network Analytics, Medical Economics, Provider Experience, Clinical Operations, Compliance, Revenue Cycle Management (RCM), Implementations and Operations teams
Align stakeholders around contracting strategies, financial targets, and execution plans, ensuring seamless operationalization
Provide strategic input into enterprise priorities, including cost-of-care management, provider partnerships, and long-term growth strategy
Represent CareCentrix in executive-level negotiations with provider organizations, health systems and strategic partners
Build and maintain strong, collaborative provider relationships that enable favorable contracting outcomes and long-term partnership value

Requirements

What you’ll need

Bachelor’s degree required; Master’s or MBA strongly preferred
8–12+ years of experience in healthcare, with significant focus on provider network development, contract negotiations operations, provider credentialing, provider communications/engagement and strategy
Demonstrated experience building and managing provider networks, including network adequacy and market expansion
Experience leading cross-functional initiatives and influencing senior stakeholders
Strong understanding of healthcare delivery models, ideally within home health or post-acute care
Proven ability to drive operational improvements, manage complex programs, and lead high-performing teams
Strategic thinking with strong execution orientation
Data-driven decision-making and analytical capability
Excellent communication and stakeholder management skills
Ability to lead through change and ambiguity
Strong problem-solving and organizational leadership skills

Benefits

Comp & perks

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
corporate bonus incentive

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

provider network developmentcontract negotiationsprovider credentialingvalue-based care modelsrisk-sharing arrangementsperformance analyticsreimbursement methodologiesutilization managementnetwork capacity planningdata-driven decision-making

Soft Skills

strategic thinkingcommunication skillsstakeholder managementorganizational leadershipproblem-solvinginfluencing senior stakeholdersleading through changeexecution orientationcollaborative relationship buildingoperational improvements

Certifications

Bachelor's degreeMaster's degreeMBA