Jobs › Companies › CareSource › Network Strategy Director(Preferred Experience In Managed Care)

About this Network Strategy Director(Preferred Experience In Managed Care) role at CareSource

CareSource · Remote · Remote
Job Summary:

The Network Strategy Director serves as the enterprise subject-matter expert for provider contracting, leading the organization's most complex, high-risk negotiations and strategic contracting initiatives. They provide senior-level expertise, establish contracting standards and best practices, and mentor contracting professionals across the organization.

Essential Functions:
  • Lead negotiation of CareSource's largest and most strategically significant provider agreements — major health systems, multi-market IDNs, and national/DME vendor contracts — often representing eight-figure annual spend.
  • Serve as the enterprise SME on contracting strategy, reimbursement methodology, and deal structuring; advise leadership on negotiation approach for the highest-stakes deals.
  • Design and pilot novel contract structures (advanced VBC arrangements, risk corridors, performance-based rate mechanisms) ahead of broader rollout.
  • Mentor contracting professionals enterprise-wide on negotiation techniques, deal structuring, and complex contracting methodologies.
  • Partner cross-functionally to resolve complex contractual, financial, and regulatory issues arising during negotiations.
  • Represent National Network Development in executive-level provider discussions and market-facing negotiations requiring senior credibility.
  • Own strategic renewal planning for the highest-exposure agreements in the renewal pipeline (90/180/365-day windows).
  • Contribute contracting expertise to enterprise initiatives — new market entry readiness, network optimization pilots, VBC expansion strategy.
  • Perform any other job related duties as requested.

Education and Experience:
  • Bachelor's degree in business related field required
  • Master's degree is preferred
  • Equivalent years of relevant work experience may be accepted in lieu of required education
  • Eight (8) years provider contracting experience, including a demonstrated track record leading complex, high-dollar, multi-stakeholder negotiations independently required
  • Direct experience negotiating with major health systems or IDNs preferred
  • Experience designing value-based or risk-based contract structures preferred
Competencies, Knowledge and Skills:
  • Expert level knowledge of reimbursement methodology and contract law fundamentals
  • Ability to design and defend novel contract structures
  • Sophisticated financial and risk analysis
  • Expert-level negotiation and deal architecture
  • Enterprise strategic thinking
  • Executive presence and provider-facing credibility
  • Mentorship and technical leadership without formal authority
  • Complex risk and financial structuring
Licensure and Certification:
  • None
Working Conditions:
  • General office environment; may be required to sit or stand for extended periods of time
  • Up to 15% (occasional) travel to attend meetings, trainings, and conferences may be required

Compensation Range:

$113,000.00 - $197,700.00

CareSource takes into consideration a combination of a candidate’s education, training, and experience as well as the position’s scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee’s total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type (hourly/salary):

Salary

Organization Level Competencies

  • Fostering a Collaborative Workplace Culture

  • Cultivate Partnerships

  • Develop Self and Others

  • Drive Execution

  • Influence Others

  • Pursue Personal Excellence

  • Understand the Business


 

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an environment of belonging that welcomes and supports individuals of all backgrounds.

#LI-SW2

 

 

Brand=CareSource
Ready to apply to CareSource?
Apply to CareSource

About CareSource

The CareSource mission is known as our heartbeat. Just as we support our members to be the best version of themselves, our employees are driven by our mission to create a better world for members, stakeholders and providers. We are difference-makers who combine compassionate hearts with our unique business expertise to make every opportunity count. Each claim, each phone call, each consumer-centric decision is a chance to change the world for one member, and our employees look for ways to do that every day. The challenge is, there is no one right way to be the difference and we’re looking for people like you that will rewrite that definition every day. We do what it takes to form creative so

See all jobs at CareSource →

Similar jobs

CareSource
Integrated Care Clinical Manager - RN -Chicopee, MA
CareSource
⚡ Apply early Massachusetts WFH Onsite $75,200–$120,500
● New 👁 Seen ✓ Applied 10h ago
CareSource
Community Health Worker (Hybrid/Mobile – Metro West/Worcester, MA Area)
CareSource
⚡ Apply early Worcester, MA Onsite $41,200–$66,000
● New 👁 Seen ✓ Applied 10h ago
CareSource
Integrated Care Clinical Manager -Lowell
CareSource
⚡ Apply early Lowell, MA Onsite $75,200–$120,500
● New 👁 Seen ✓ Applied 10h ago
CareSource
Network Strategy Director(Preferred Experience In Managed Care)
CareSource
⚡ Apply early Remote · location restricted $113,000–$197,700
● New 👁 Seen ✓ Applied 1d ago
CareSource
Lead Design Engineer
CareSource
⚡ Apply early Remote · location restricted $113,000–$197,700
● New 👁 Seen ✓ Applied 1d ago
CareSource
2027 Summer Internship Program - Data Science Intern
CareSource
⚡ Apply early Remote · location restricted $41,200–$66,000
● New 👁 Seen ✓ Applied 1d ago
CareSource
Manager, Integrated Care Waiver Operations - Must Live in Ohio
CareSource
⚡ Apply early Ohio Mobile Onsite $94,100–$164,800
● New 👁 Seen ✓ Applied 1d ago
CareSource
Health & Social Partneships Strategy Lead
CareSource
⚡ Apply early Ohio WFH Onsite $83,000–$132,800
● New 👁 Seen ✓ Applied 1d ago
CareSource
Director, Network Performance and Strategy(Preferred Experience In Managed Care)
CareSource
⚡ Apply early Remote · location restricted $113,000–$197,700
● New 👁 Seen ✓ Applied 1d ago

Sign up for suggestions tailored to the jobs you open and the searches you save.

More jobs at CareSource

See all jobs at CareSource →

Apply now
🤖

Whoa — hold up

JobsRadar was built for real people having a rough time in their job search — not for automated requests. You're clicking way too fast and you're now temporarily blocked.

Come back later. If you're genuinely job hunting, we've got your back — just act like a human.

Catch your next role the second it’s posted.

Create a free account and we’ll watch the boards for you — the instant a job matches your search, it lands in your inbox or Telegram. No digging, no refreshing.

Create free account

Free forever · takes 30 seconds · already have one?

Get an edge on your job hunt.

Join our Telegram channel for the stuff that helps you land the role — salary benchmarks, the weekly market pulse, and new-feature drops. No spam, just signal.

Join the channel — it's free