Director Provider Contracting

The purpose of Dignity Health Management Services Organization (Dignity Health MSO) is to build a system-wide integrated physician-centric, full-service management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and geographies and will lead the effort in developing Dignity Health’s Medicaid population health care management pathways. Dignity Health MSO is dedicated to providing quality managed care administrative and clinical services to medical groups, hospitals, health plans and employers with a business objective to excel in coordinating patient care in a manner that supports containing costs while continually improving quality of care and levels of service. Dignity Health MSO accomplishes this by capitalizing on industry-leading technology and integrated administrative systems powered by local human resources that put patient care first.

Dignity Health MSO offers an outstanding Total Rewards package that integrates competitive pay with a state-of-the-art, flexible Health & Welfare benefits package. Our cafeteria-style benefit program gives employees the ability to choose the benefits they want from a variety of options, including medical, dental and vision plans, for the employee and their dependents, Health Spending Account (HSA), Life Insurance and Long Term Disability. We also offer a 401k retirement plan with a generous employer-match. Other benefits include Paid Time Off and Sick Leave.

One Community. One Mission. One California 

***This position is remote.

Position Summary:

The Director of Provider Contracting is a key executive leader responsible for the strategic direction and operational execution of provider contracting across DHMSO's Independent Physician Association (IPA) network. This leader oversees a high-performing team managing the full contract lifecycle for physicians, facilities, and ancillary providers. The Director plays a pivotal role in maximizing clinical, financial, and experience outcomes across the network by negotiating competitive agreements, managing performance, and fostering collaborative partnerships with providers and health plan stakeholders. This includes capitation, fee-for-service, and value-based contract structures. The position supports both short-term operational goals and long-term strategic objectives. The Director must demonstrate a strong command of contracting strategies, network development, and healthcare financial models, while building trusted relationships with IPA physicians, health plan partners, and internal functional leaders.

Responsibilities may include:
- Directs and develops a cross-functional team of contracting managers, specialists, and coordinators. Provides coaching, performance evaluations, and succession planning to build departmental capabilities Leads through influence and accountability, cultivating a culture of collaboration and execution.
- Oversees department budget and ensures resource alignment with strategic priorities.
- Leads contract development, negotiation, and execution with IPA physicians, facilities, and ancillary providers.
- Manages the contract lifecycle, including amendments, terminations, and letters of agreement.
- Develop agenda and presentation for Contacting Meetings.
- Collaborates with Provider Relations, Compliance, and Health Plan Strategy to ensure aligned implementation.
- Serves as primary liaison to IPA physicians and practice leaders regarding contract terms, expectations, and performance. Represents DHMSO in external contract negotiations with health plans and other key partners. Coordinates with Claims, UM, Compliance, and Finance for cross-functional integration and execution.
- Ensures contract compliance with state and federal regulations and internal policy standards.
- Analyzes large data sets related to utilization, cost, and quality to identify performance improvement opportunities.
- Develops and monitors KPIs for contract effectiveness, financial outcomes, and provider engagement.

Minimum Qualifications:

- Minimum of eight (8) years of progressive experience in provider contracting, payer negotiations, managed care strategy
- At least five (5) years in a leadership role managing contracting or network development teams
- Bachelors degree in Healthcare Administration, Business, or a related field.
- Deep knowledge of capitation models, value-based agreements, and IPA structures
- Proven negotiation skills and stakeholder relationship-building, including with physicians and health plans
- High proficiency in data interpretation, budgeting, and strategic planning

Preferred Qualifications:

- Supervisory experience preferred
- Experience within integrated delivery systems or clinically integrated networks preferred
- Familiarity with CMS, DMHC HIPAA, and health plan regulatory standards preferred
- Masters degree in Business, Healthcare Administration or Public Health preferred