Director, Network Contract and Strategy

Salary Range: $149,502.00 (Min.) - $201,827.00 (Mid.) - $254,152.00 (Max.)Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation's largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time. Mission: L.A. Care's mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose. Duties2 available positions. Responsible for shaping and executing contracting strategies that drive organizational success across medical groups, hospitals, and health systems. Serve as a senior contracting representative, translate complex network strategies, market dynamics, membership needs, financial objectives, quality imperatives, and regulatory requirements into actionable, high-impact contracting solutions. Identify and assess contracting opportunities. Evaluate network needs, geographic access, market position, quality, utilization, cost, and strategic importance. Develop robust negotiation strategies and recommend positions for new contracts, renewals, amendments, and material contract changes. Ensure the organization maintains a forward-looking contract pipeline, proactively identifies upcoming renewals, strategic opportunities, network gaps, and high-priority negotiations. Responsible for contract development and rate evaluation, lead the creation, review, and refinement of provider contract language and exhibits. Draft and negotiate business terms within established organizational and financial parameters, rigorously evaluate proposed provisions for business, financial, operational, regulatory, and network implications. Partner closely with cross functional teams to assess the financial impact of proposed reimbursement changes, ensuring that rationale, financial assumptions, concessions, and required approvals are clearly documented and escalated when necessary. Own the contracting process from initial negotiation through final execution. Ensure that negotiated terms are accurately incorporated into final contracts and exhibits, maintain comprehensive documentation, monitor contracting timelines, and proactively address barriers to execution. Develop and mentor a high-performance contract management and execution team, capable of securing strategically important provider agreements, negotiating sustainable and financially responsible reimbursement, executing renewals and amendments efficiently, and reducing unnecessary contractual variation and risk. Represent the Health Plan in high-level provider meetings, community forums, and strategic partnerships. Serve as a trusted ambassador, advancing organizational excellence and forging impactful external relationships. Develop goals, objectives and actions plans for assigned staff which includes full management responsibility for the hiring, performance reviews, salary reviews and disciplinary matters for direct reporting employees. Foster and promote a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals. Manage department budgets and resources effectively. Conduct strategic planning to utilize resources to meet current and future departmental and Enterprise-wide goals. Lead discussions on policy operationalization and manages key policy perspective sharing. Performs other duties as assigned.