About the role

  • AVP of Provider Contracting driving strategies in healthcare across Cleveland and Northern Ohio. Leading a contracting team and managing provider relationships to improve care quality and affordability.

Responsibilities

  • Lead and develop a high‑performing contracting team, creating a culture of growth, collaboration, and accountability.
  • Drive contracting and network strategies across Commercial and other product lines to strengthen our market position.
  • Negotiate complex fee‑for‑service and value‑based contracts with health systems, hospitals, and large provider groups to improve affordability and quality.
  • Champion cross‑market and cross‑functional initiatives that support broader business goals.
  • Build trusted, long‑term partnerships with providers to expand value‑based opportunities and deliver on local market strategy.
  • Work closely with matrix partners—including Claims Operations, Medical Management, Credentialing, Legal, Medical Economics, Compliance, Sales, and Service—to support smooth network operations.
  • Identify opportunities for deeper value orientation and new risk‑based arrangements that improve total medical cost.
  • Manage financial impact analysis, performance projections, and scenario modeling for high‑value and complex contracts.
  • Oversee provider relationship management to ensure strong communication, collaboration, and results.
  • Maintain a clear understanding of the competitive landscape and provider interrelationships across assigned geographic markets.
  • Ensure accurate and timely contract loading, submissions, and network implementation activities.

Requirements

  • Minimum 5 years of provider contracting and negotiation experience with complex delivery systems.
  • Experience leading or mentoring direct reports and guiding talent development.
  • Proven success managing senior‑level provider relationships.
  • Strong knowledge of reimbursement methodologies, including value‑based and incentive‑driven models.
  • Demonstrated ability to build strong external partnerships and navigate integrated delivery systems.
  • Effective communication skills with the ability to influence provider and sales audiences.
  • Strong problem‑solving, decision‑making, negotiation, and financial analysis skills.
  • Proficiency with Microsoft Office tools.
  • Ability to travel as needed.

Benefits

  • medical, vision, dental, and well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • a minimum of 18 days of paid time off per year
  • paid holidays

Job title

AVP, Provider Contracting

Job type

Experience level

Lead

Salary

$127,900 - $213,100 per year

Degree requirement

Bachelor's Degree

Location requirements

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