Senior Director, Contracting

Inland Empire Health Plan•Rancho Cucamonga, CA

6d•$193,003 - $265,387•Hybrid

About The Position

Reporting to the Vice President of Contracting, the Sr. Director provides strategic leadership and operational oversight of Provider Contracting. The Sr. Director leads complex contract negotiations and ensures all contracting activities align with regulatory requirements and organizational priorities. This position collaborates closely with multiple departments across the organization to build and maintain a network that supports IEHP’s growth, financial sustainability and operational excellence. The IEHP Team is committed to incorporate IEHP’s Quality Program goals including, but not limited to, HEDIS, CAHPS, and NCQA Accreditation.

Requirements

A minimum of 7 years’ progressive experience in network contracting and at least 5 years of leadership experience
Experience with various managed care compensation methodologies related to Medicaid, Medicare and Marketplace government-sponsored programs
Bachelor’s degree in a related field from an accredited institution required
Valid California Driver’s License preferred
Extensive knowledge of network development, managed care delivery systems, and health plan operations
Deep understanding of contracting structures, alternative payment methodologies, risk‑based arrangements, regulatory requirements, contract performance evaluation, and reimbursement methodologies
Exceptional analytical, strategic planning, and problem‑solving skills, with the ability to lead complex initiatives and make informed decisions
Strong leadership capabilities with demonstrated success managing teams, developing talent, and driving cross‑functional collaboration
Outstanding communication, negotiation, relationship‑building, and organizational skills
Cultivate and sustain high impact, collaborative relationships with providers and key stakeholders
Strategically manage complex, competing priorities and deliver results under tight deadlines
Shape, lead, and execute enterprise level provider contracting and network development strategies

Nice To Haves

Master’s degree in a related field from an accredited institution preferred

Responsibilities

Provide strategic leadership in developing, implementing, and overseeing organization‑wide contracting strategies to ensure a robust, high‑performing network that supports current and future product lines and organizational goals.
Oversee and guide complex negotiations, ensuring timely execution, operational feasibility, and compliance with organizational and regulatory requirements.
Champion cross‑departmental collaboration with Compliance, Finance, Legal, Product, Provider Experience, and Quality to ensure smooth contract implementation and optimal provider performance.
Develop and implement contracting strategies that support compliance with state and federal regulations as well as NCQA requirements.
Drive operational excellence across the full contract lifecycle, from intake to execution. Establish clear SLAs, prioritization frameworks, and performance metrics for all contracting activities.
Identify and implement system enhancements that improve efficiency and user experience. Ensure accurate tracking, visibility, and reporting of contract volumes, cycle times, and bottlenecks.
Own the development, maintenance, and continuous improvement of contract templates and standard language. Collaborate with subject matter experts to ensure accuracy and relevance.
Ensure executive leadership has clear, ongoing visibility into contracting activities, trends, and risks.
Foster a high-performing, solutions-oriented culture focused on quality, consistency, and strong cross-functional partnership.
Hire, train, and manage support staff, while monitoring and evaluating outcomes. Conduct performance reviews of each Team Member within IEHP guidelines.
Perform any other duties as required to ensure Health Plan operations and department business needs are successful.