AVP, Contracting & Network Management

Alignment Health - Orange, CA

Hiring: AVP, Contracting & Network Management Company: Alignment Health Location: Orange, CA Job Posted Time: 2026-09-03 10:55:01 Employment Type: Contract Target Skills & Keywords : Medicare, Regulatory Compliance, Risk Management About the job Required Skills: •General Duties/Responsibilities (May Include But Are Not Limited To) •Lead the development and execution of contracting strategies for hospital systems, including acute care hospitals, specialty facilities, and integrated delivery networks (IDNs). •Negotiate highly complex agreements with hospital executives, including fee-for-service, DRG-based, case rate, bundled payment, and value-based/risk arrangements. •Drive alignment of hospital contracts with organizational financial targets, medical cost management, and quality outcomes. •Lead renegotiations and strategic realignment of hospital participation within networks. •Ensure consistency, scalability, and appropriate governance across all provider contracting activities. •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). •Advance value-based arrangements and risk-sharing models that improve outcomes and reduce total cost of care, ensuring alignment of financial incentives, contract structures, and performance expectations. Qualifications: •To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. •The requirements listed below are representative of the knowledge, skill, and/or ability required. Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!