Alignment Healthcare USA, LLC

AVP, Contracting & Network Management

Orange, CA · Exec

Sponsorship not specified$172k-$259kDetected 30 days ago

Project ManagementNegotiationFinancial ModelingExcelRecruitingLeadershipCommunicationCollaborationMentoringMicrosoft Office

About the role

General Duties/Responsibilities (May include but are not limited to):
Hospital Contracting Strategy & Execution
Negotiate highly complex agreements with hospital executives, including fee-for-service, DRG-based, case rate, bundled payment, and value-based/risk arrangements.

Lead the development and execution of contracting strategies for hospital systems, including acute care hospitals, specialty facilities, and integrated delivery networks (IDNs).
Lead renegotiations and strategic realignment of hospital participation within networks.
Develop and execute strategies for innovative approaches to create value through next-generation contracting, network design, and care models for Medicare Advantage, inclusive of diverse compensation arrangements (e.g., capitation, shared savings, global risk, quality incentives and value-based structures).
Develop and execute forward-looking strategies for network design, including narrow, tiered, and high-performance networks.
Leverage the competitive landscape to assess market dynamics and design differentiated network and contracting strategies.
In alignment with corporate standards, the AVP drives innovative contracting strategies, optimizes network design, and advances next-generation care models for Medicare Advantage populations.
This leader partners closely with executive leadership to ensure network competitiveness, strong financial performance, and full regulatory compliance.

Proven success negotiating complex agreements with large hospital systems and IDNs.
Demonstrated leadership experience with the ability to build, lead, and scale high-performing teams.
Strong collaboration skills, with the ability to influence, gain buy-in, and incorporate diverse perspectives.
Proficiency in Microsoft Office (Word, Excel, PowerPoint).
Experience with delegated and non-delegated provider models.
While performing the duties of this job, the employee is regularly required to talk or hear.
The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms.

$172,364.00 - $258,547.00 Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

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.
In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community.
Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them.
Specific vision abilities required by this job include close vision and the ability to adjust focus.
Drive alignment of hospital contracts with organizational financial targets, medical cost management, and quality outcomes.

Minority/Female/Disable/Protected Veteran.
If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact careers@ahcusa.com.
We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.
It takes an entire team of passionate and caring people, united in our mission to put the senior first.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action.

This listing is sourced directly from Alignment Healthcare USA, LLC's careers page and normalized into a canonical job model.