About The Position

We’re looking for a bold, compassionate leader who is ready to shape the future of our provider network across the Cleveland and Northern Ohio region. In this role, you’ll guide a team, build strong partnerships, and drive strategies that help our customers get high‑quality, affordable care. If you thrive in a fast‑paced environment, enjoy solving complex problems, and want to make a meaningful impact, we’d love to meet you. This role supports the Cleveland and Northern Ohio market and requires a hybrid work schedule.

Requirements

  • Minimum 5 years of provider contracting and negotiation experience with complex delivery systems.
  • Experience leading or mentoring direct reports and guiding talent development.
  • Proven success managing senior‑level provider relationships.
  • Strong knowledge of reimbursement methodologies, including value-based and incentive-driven models.
  • Demonstrated ability to build strong external partnerships and navigate integrated delivery systems.
  • Effective communication skills with the ability to influence provider and sales audiences.
  • Strong problem‑solving, decision‑making, negotiation, and financial analysis skills.
  • Proficiency with Microsoft Office tools.
  • Ability to travel as needed.

Nice To Haves

  • Bachelor’s degree in Finance, Economics, Healthcare, Business, or a related field. Significant industry experience may be considered in place of a degree.
  • MBA or MHA.
  • Experience leading in a fast‑paced, matrixed organization.
  • Background in managed care, provider business models, and network strategy.
  • Ability to lead through change with confidence, empathy, and clarity.

Responsibilities

  • Lead and develop a high‑performing contracting team, creating a culture of growth, collaboration, and accountability.
  • Drive contracting and network strategies across Commercial and other product lines to strengthen our market position.
  • Negotiate complex fee‑for‑service and value‑based contracts with health systems, hospitals, and large provider groups to improve affordability and quality.
  • Champion cross‑market and cross‑functional initiatives that support broader business goals.
  • Build trusted, long‑term partnerships with providers to expand value‑based opportunities and deliver on local market strategy.
  • Work closely with matrix partners—including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Service—to support smooth network operations.
  • Identify opportunities for deeper value orientation and new risk‑based arrangements that improve total medical cost.
  • Manage financial impact analysis, performance projections, and scenario modeling for high‑value and complex contracts.
  • Oversee provider relationship management to ensure strong communication, collaboration, and results.
  • Maintain a clear understanding of the competitive landscape and provider interrelationships across assigned geographic markets.
  • Ensure accurate and timely contract loading, submissions, and network implementation activities.

Benefits

  • Starting on day one of your employment, you’ll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs.
  • We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays.

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What This Job Offers

Job Type

Full-time

Career Level

Mid Level

Number of Employees

5,001-10,000 employees

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