[Hiring] Senior Director, Care Delivery Organization, Value Based Care Contracting @Alignment Health

Role Description

The Sr. Director, Care Delivery Organization (CDO), Value Based Care (VBC) Contracting is the senior contracting leader within the Care Delivery Organization, responsible for establishing, negotiating, and managing value-based provider relationships that drive total cost improvement and quality performance across the CDO's provider network. This role owns the full value-based contracting lifecycle — from strategy and negotiation through contract execution, performance monitoring, and cross-functional coordination with Corporate Contracting, Network Development, Finance, and Market Leadership.

Job Responsibilities:

• Lead Value-Based Contracting Strategy and Execution.
• Negotiate and Manage Complex Provider Arrangements.
• Drive Value-Based Strategic Planning and Contract Performance Oversight.
• Analyze Medical Claims Data and Financial Performance.
• Lead and Develop the Contracting Team.
• Coordinate Cross-Functional Contract Support.
• Lead Complex Cross-Functional Projects and Programs.
• Other duties and projects not listed above.

Supervisory Responsibilities:

• This role carries full people management authority over the MSO Contracting team.
• Directly supervises contracting staff and is responsible for all supervisory functions including recruiting, onboarding, coaching, performance management, and retention.

Supervisory Requirements:

• Fulfill supervisory responsibilities in accordance with organization policies and applicable laws.
• Responsibilities include interviewing, hiring, and training employees; planning, assigning, and directing work; appraising performance; rewarding and disciplining employees; addressing complaints and resolving problems.

Qualifications

• Minimum 10 years of related experience in value-based contract negotiation within a managed care, Medicare Advantage, or healthcare services environment.
• Expert-level negotiating skills.
• Experience reviewing medical claims data and developing executive summaries.
• Proven ability to work in a matrixed organization.
• Experience managing the complete contracting cycle.

Requirements

• Familiarity with legal terms in the context of provider contracting.
• Knowledge of CMS Stars and HEDIS technical specifications.
• Experience with Commercial, Medicare, and Medicaid contracting across multiple lines of business.
• Strong financial modeling background.
• Ability to apply systems thinking when managing multiple provider value-based initiatives simultaneously.

Education

• Bachelor's degree in Healthcare Administration, Business, Finance, or a related field.
• MBA or graduate degree in healthcare administration, business, or health policy (preferred).

Training

• Demonstrated working knowledge of value-based care models.
• Formal negotiation training or certification (preferred).
• Lean, Six Sigma, or equivalent process improvement methodology (preferred).

Specialized Skills

• Value-Based Contract Negotiation (Advanced).
• Medical Claims and Financial Data Analysis (Advanced).
• Alternative Payment Model Design and Strategy (Advanced).
• Network Strategy and Provider Relationship Management (Advanced).
• Cross-Functional Influence and Stakeholder Alignment (Advanced).
• CMS Stars and Quality Program Knowledge (Intermediate to Advanced).
• Project and Program Leadership (Advanced).

Essential Physical Functions

• Regularly required to talk or hear.
• Frequently lifts and/or moves up to 10 pounds.
• Specific vision abilities required include close vision and the ability to adjust focus.

Pay Range

$149,882.00 - $224,823.00

Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Company Description

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail.

We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve.

Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.