Devoted Health Logo

Devoted Health

Senior Director, Network Contracting

Posted 5 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in USA
100K-250K Annually
Senior level
Remote
Hiring Remotely in USA
100K-250K Annually
Senior level
Lead and execute end-to-end provider network contracting across Commercial and Medicare Advantage lines. Close complex negotiations with physician groups and ancillary providers, optimize fee schedules and pricing, and operationalize agreements with Provider Ops, Claims, and Credentialing. Build and mentor a high-performing contracting team, standardize playbooks, and leverage AI-assisted tools and data visualization to accelerate deal execution and reporting. Collaborate cross-functionally with Actuarial, Underwriting, Product, and Sales to support market expansion and competitive pricing.
The summary above was generated by AI

Job Description

A bit about this role:
The Senior Director, Network Contracting is an executive operational leadership position responsible for directing and executing provider network contracting, deal closing, and unit-cost delivery across key growth markets. In this role, you will serve as the primary commercial lead on the team—bringing deep Commercial-first contracting expertise while guiding a high-performing team that executes across both Commercial and Medicare Advantage lines of business. You will serve as a hands-on executive accountable for operationalizing provider agreements, optimizing fee schedules, and ensuring scalable deal execution. As an adaptable operational leader, you will leverage modern digital workflows, data visualization tools, and AI-assisted analytics to track contract yields, speed up turnaround times, and maintain pricing discipline.
Your Responsibilities and Impact will include:

  • Contract Execution & Market Growth: Drive end-to-end execution of provider contracting across targeted expansion markets, ensuring agreements are closed on time, within yield targets, and fully compliant with operational standards.

  • Contracting Lead: Serve as the functional domain lead for contracting strategy and execution, while leading a team responsible for executing deals across both Commercial and Medicare Advantage products.

  • Hands-on Deal Closing & Fee Schedule Optimization: Lead complex, direct negotiations with physician groups, specialty networks, and ancillary providers—focusing heavily on commercial fee schedules, rates, and risk structures.

  • Operationalizing Agreements: Partner closely with Provider Operations, Claims, and Credentialing to ensure negotiated contract terms, rates, and value-based parameters are flawlessly implemented into core systems.

  • Team Leadership & Operational Excellence: Manage and mentor a high-performing team of network contracting negotiators, driving accountability, standardizing negotiation playbooks, and adopting AI-assisted tools to streamline deal workflows.

  • Cross-Functional Alignment: Collaborate with Actuarial, Underwriting, Product, and Sales teams to rapidly execute network deals that support competitive product pricing and market expansion.

Required skills and experience:

  • 12+ years of hands-on experience in healthcare network contracting, with a primary foundation and proven track record in Commercial managed care environments, paired with exposure to Medicare Advantage execution.

  • Extensive background directly closing high-stakes contract negotiations with physician organizations, specialty groups, and ancillary provider networks.

  • Deep expertise in commercial pricing models, fee schedule development, risk-sharing structures, and contract operationalization.

  • Demonstrated experience building, leading, and driving accountability across direct-report contracting teams focused on multi-product deal execution and speed-to-market.

  • An adaptable, tech-forward mindset with a focus on leveraging modern workflows and AI-assisted tools to accelerate deal execution and reporting.

Desired skills and experience:

  • Background or prior experience with health system, hospital, or Integrated contracting models.

  • Knowledge of Medicare Advantage regulatory frameworks and CMS network adequacy requirements.

  • Proficiency in utilizing data visualization platforms or AI copilots to evaluate contract financial yields and rate impacts.

Salary range: $180,000 -$250,000 / year

The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

  • Employer sponsored health, dental and vision plan with low or no premium

  • Generous paid time off

  • $100 monthly mobile or internet stipend

  • Stock options for all employees

  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

  • Parental leave program

  • 401K program

  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Founded in 2017, Devoted Health is on a mission to dramatically improve the health and well-being of older Americans by caring for everyone like they are family, and that includes our employees. Our robust and seamlessly integrated care platform merges advanced data and AI access with world-class clinical and service experiences to create a member experience that is unlike the industry norm. To continue building upon our mission, we want to bring together those who share our values, embrace change and advancement, and are enthusiastic about where we're going — all the while bringing their own unique qualities, experiences, and expertise, in hopes of further changing the healthcare experience.


Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.


As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

HQ

Devoted Health Waltham, Massachusetts, USA Office

221 Crescent Street, Suite 202, Waltham, MA, United States, 02453

Similar Jobs

42 Minutes Ago
Remote or Hybrid
45K-75K Annually
Junior
45K-75K Annually
Junior
Artificial Intelligence • Fintech • Insurance • Marketing Tech • Software • Analytics
Handle inbound and warm sales leads remotely, consult customers on insurance needs, recommend Property & Casualty coverages, close policies, complete paid training and obtain required license, and meet schedule and performance expectations.
Top Skills: PcWired High-Speed Internet (100 Mbps Download / 20 Mbps Upload)
An Hour Ago
In-Office or Remote
92K-164K Annually
Senior level
92K-164K Annually
Senior level
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Design, build, and support HL7 v2.x interfaces using InterSystems Ensemble/IRIS and Epic Bridges. Translate clinical requirements into mappings, perform Epic-side builds, troubleshoot production interface failures, monitor queues, support Epic upgrades, and ensure HIPAA-compliant data exchange in a 24x7 healthcare environment.
Top Skills: AdtDftEpicEpic BridgesHl7 V2.XIntersystems EnsembleIntersystems IrisOrmOruSiu
An Hour Ago
In-Office or Remote
29-52 Hourly
Junior
29-52 Hourly
Junior
Artificial Intelligence • Big Data • Healthtech • Information Technology • Machine Learning • Software • Analytics
Provide telephonic assessment, crisis triage, short-term solution-focused consultation, authorizations and referrals, and document clinical notes for behavioral health benefit callers in an EAP call center environment.

What you need to know about the Boston Tech Scene

Boston is a powerhouse for technology innovation thanks to world-class research universities like MIT and Harvard and a robust pipeline of venture capital investment. Host to the first telephone call and one of the first general-purpose computers ever put into use, Boston is now a hub for biotechnology, robotics and artificial intelligence — though it’s also home to several B2B software giants. So it’s no surprise that the city consistently ranks among the greatest startup ecosystems in the world.

Key Facts About Boston Tech

  • Number of Tech Workers: 269,000; 9.4% of overall workforce (2024 CompTIA survey)
  • Major Tech Employers: Thermo Fisher Scientific, Toast, Klaviyo, HubSpot, DraftKings
  • Key Industries: Artificial intelligence, biotechnology, robotics, software, aerospace
  • Funding Landscape: $15.7 billion in venture capital funding in 2024 (Pitchbook)
  • Notable Investors: Summit Partners, Volition Capital, Bain Capital Ventures, MassVentures, Highland Capital Partners
  • Research Centers and Universities: MIT, Harvard University, Boston College, Tufts University, Boston University, Northeastern University, Smithsonian Astrophysical Observatory, National Bureau of Economic Research, Broad Institute, Lowell Center for Space Science & Technology, National Emerging Infectious Diseases Laboratories

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account