[Hiring] System Director, Employer Strategy, Commercial Growth & Alternative Payment Models @CommonSpirit Health

Role Description

As our System Director, Employer Strategy, Commercial Growth & Alternative Payment Models you will be responsible for developing and executing CommonSpirit Health's national strategy for employer-sponsored healthcare solutions, commercial growth initiatives, and alternative payment model (APM) partnerships. This leader serves as a strategic bridge between employer markets, payer strategy, clinically integrated networks, population health, and provider operations to develop innovative solutions that improve affordability, quality, access, and value for employers, health plans, and consumers.

• Lead the design, development, commercialization, implementation, and performance management of employer-focused healthcare products, direct-to-employer arrangements, self-funded employer solutions, commercial value-based contracts, and alternative payment models.
• Identify new business development opportunities, expand commercial membership and market share, support payer contracting strategies, and develop innovative reimbursement structures.
• Operate within a highly matrixed environment and require significant collaboration across national, regional, and market leadership teams.
• Develop innovative healthcare solutions for self-funded employers, fully insured commercial groups, labor organizations, public sector employers, and other commercial purchasers of healthcare services.
• Design, negotiate, implement, and monitor commercial value-based contracts and alternative payment models.
• Partner with Payer Strategy & Analytics leadership to support commercial fee-for-service negotiations, value-based contracting initiatives, and out-of-network strategies.
• Develop and maintain a Commercial Payer Strategy Playbook that evaluates payer market dynamics, competitive positioning, reimbursement structures, network strategies, employer purchasing trends, and emerging commercial market opportunities.
• Lead business development efforts with employers, consultants, brokers, TPAs, health plans, benefit advisors, and distribution partners.
• Collaborate with clinically integrated networks, population health teams, physician enterprises, and operational leaders to design products and programs.
• Evaluate opportunities for direct-to-employer contracting, centers of excellence arrangements, steerage programs, reference-based pricing strategies, narrow network products, and high-performance network solutions.
• Partner with actuarial, analytics, finance, and underwriting resources to develop pricing methodologies, financial models, risk assessments, performance guarantees, and ROI analyses.
• Lead implementation and operational readiness activities for employer-sponsored programs.
• Oversee strategic relationships with TPAs, commercial health plans, stop-loss carriers, consultants, brokers, employer coalitions, and other external partners.
• Monitor commercial payer performance, membership growth, reimbursement trends, market share shifts, competitive intelligence, and emerging healthcare delivery models.
• Recruit, develop, mentor, and lead a high-performing team capable of supporting employer strategy, commercial growth, value-based contracting, and alternative payment model initiatives.

Qualifications

• Bachelor’s degree required. Master’s degree preferred in relevant field of study in Business Administration, Healthcare Administration, Public Health, Economics, Finance, Actuarial Science, Health Policy, or related field.
• A minimum of ten (10) years of responsibility in one or more of the following areas:
• Employer healthcare strategy
• Commercial payer contracting
• Alternative payment models
• Value-based care
• Provider network strategy
• Health plan product development
• Population health
• Benefits consulting
• Healthcare economics
• Direct-to-employer solutions
• Healthcare business development
• A minimum of five (5) years of experience in program, project, product and/or client relationship management with progressive management in a healthcare or health insurance environment.

Requirements

• Deep understanding of employer-sponsored healthcare markets, including fully insured, self-funded, level-funded, and alternative funding arrangements.
• Experience developing and implementing commercial value-based contracts including shared savings, downside risk, bundled payments, capitation, and population health arrangements.
• Knowledge of commercial payer reimbursement methodologies, provider network design, risk adjustment, medical economics, actuarial principles, and healthcare finance.
• Experience working with health plans, TPAs, benefits consultants, brokers, employer coalitions, and provider organizations.
• Demonstrated success developing new products, launching new programs, growing membership, increasing revenue, or expanding market share.
• Strong business development, negotiation, relationship management, and executive communication skills.