Manager Contracting & Network Strategy

CommonSpirit Health•Bakersfield, CA

1d•Hybrid

About The Position

As our Manager, Network Strategy, you will support programs aligned with clinically integrated physician networks and value-based care activities, and you will lead the building, analysis, and optimization of healthcare provider networks. Every day, you will drive data-informed decisions to support growth, reduce out-of-network leakage, and improve quality and cost efficiency within various regional markets and our Value-Hub healthcare delivery system. You will also support our value-based care programs and initiatives, manage provider data entry applications, and oversee CIN and provider-facing provisioning needs.

Requirements

Master’s degree in Healthcare Decision Analysis, Health Management, Public Health, or closely related.
24 months of experience in a job offer, Senior Analyst -Provider Contracting, or closely related.
Experience in negotiating contracts with hospitals, ancillary providers, primary care physicians, and specialist groups.
Experience drafting provider agreements and managing contract templates, including template governance and version control.
Proficiency in data analytics for provider network evaluation, reimbursement modeling, and contract performance monitoring using Contract Management System (CLM).
Experience working with DOFR (Division of Financial Responsibility) matrices, capitation arrangements, carve-outs, and risk-based payment models using EZ Cap.
Experience using healthcare contracting, contract management system, and data tools such as Symplr, SharePoint, Monday.com, and Quest Analytics.

Responsibilities

Negotiate and review ancillary, primary care, hospital, and specialty provider agreements for DHMSO, including reviewing reimbursement methodologies, and preparing documentation for new contracts, amendments, and terminations.
Conduct analysis of large healthcare datasets and network performance metrics for Dignity Health, including cost, quality, and utilization, to identify patterns, trends, opportunities, and areas for improvement.
Build and maintain the Health Plan Matrix (HP Matrix) to summarize payor arrangements and contract structures to support operational clarity.
Collaborate with finance, claims, network, and market leadership to audit system inputs and support contracting initiatives, payer relationships, and alignment with organizational requirements.
Develop and maintain weekly KPIs and dashboards used by executive leadership to assess network adequacy, performance, and market growth opportunities.
Position is based out of the Bakersfield, CA HQ office, but telecommuting is permitted on a case-by-case basis.
Unanticipated domestic travel within the U.S. to California, Colorado, Arizona, and Texas for conferences, business meetings, corporate training, and team development. Travel to not exceed 10% a year.