EXECUTIVE DIRECTOR STRATEGIC CONTRACTING

Posted 2 Days Ago
Be an Early Applicant
Centro, Maripí, Boyacá, COL
In-Office
Expert/Leader
Healthtech • Biotech
The Role
Senior leader responsible for payer contract strategy and negotiation across commercial and Medicare Advantage portfolios. Designs reimbursement and value-based payment models, manages contract language and governance, mitigates clinical/financial risk, advances pricing strategy, and builds payer relationships to support access and organizational growth.
Summary Generated by Built In
Working at Moffitt is both a career and a mission: to contribute to the prevention and cure of cancer.As the only National Cancer Institute-designated Comprehensive Cancer Center based in Florida, Moffitt employs some of the best and brightest minds from around the world. Join a dedicated team of nearly 11,000 who are shaping the future we envision. Moffitt has been recognized as a Best and Brightest Company to Work For in the Nation and is continually named one of the Tampa Bay Times’ Top Workplaces.

Summary


The Executive Director, Strategic Contracting reports to the VP of Payer Strategies and serves as the senior leader responsible for payer contract strategy, negotiation architecture, reimbursement design, and contracting governance across Moffit Cancer Center's multi-billion-dollar Contact Portfolio which includes Commercial and Medicare Advantage contracts. This role should be reserved for an executive who has personally led complex provider-side negotiations and can translate oncology economics, market leverage, and access priorities into durable contract terms. This role oversees all commercial and managed care contract negotiations across the Cancer Center, including hospital, employed physician group, and specialty service agreements such as BMT and CAR-T. The Director also manages the development and integration of value-based payment arrangements with Moffitt Medical Group physicians. Reporting to the Vice President of Payer Strategies and working in close partnership with the Executive Director of Managed Care, the Executive Director of Strategic Contracting is responsible for negotiating fee-for-service contracts and alternative payment models, including bundled payments, shared savings, and risk-based agreements. The role plays a key part in organizational strategic planning by providing payer insights that support Moffitt’s long-term growth and strategic partnerships. In collaboration with internal stakeholders, the Executive Director develops and executes negotiation strategies related to contract terms and conditions. This includes identifying operational and financial challenges, improving contract language, enhancing revenue collection, and reducing administrative complexity. The Executive Director advances pricing strategies and contractual terms that align with organizational priorities and designs proactive initiatives with third parties to improve financial performance and operational efficiency. The Executive Director owns contract language strategy and identifies provisions that create downstream clinical, operational, or financial risk, including unilateral amendment clauses, vague policy incorporation, restrictive authorization terms, narrow medical necessity definitions, recoupment provisions, and unfavorable termination language. The Executive Director of Strategic Contracting is also responsible for contract design that reflects evolving health plan policies and revenue cycle trends, including value-based care models, site-of-carenoptimization, social determinants of health, and pharmacy strategy. Additionally, the role fosters strong payer relationships by conducting regular meetings with senior health plan leadership; Develop oncology specific negotiation positions tied to drug administration, specialty pharmacy, infusion reimbursement, radiation treatment, advanced therapies, and payer policies that can materially affect access or margin.   Minimum Education Education Level Field of Study Notes Bachelor's Degree Healthcare, business, Law or related field. Preferred Education Education Level Field of Study Notes Master's Degree Healthcare, business, Law (Juris Doctor JD preferred) or related field   Minimum Experience Required A minimum of ten (10) years' experience in managed care, healthcare finance, strategy, or healthcare management directing and managing all aspects of third party contracting within a complex health system. Experience must be inclusive of: • At least six (6) years managed care experience in the health care provider or payer setting, executing third party negotiations with appropriate communications, analytics, and results. This includes experience building a pricing strategy with advanced terms/conditions that meet the needs of a complex, tertiary care facility and developing strategies related to advancing price transparency, it's impact and implementation. • At least four (4) years management experience Minimum Skills/Specialized Training Required Comprehensive knowledge and understanding of managed care principles and practices with strong strategic skills in development of new relationships and new payment models. Demonstrated experience in reimbursement analytics and managed care contract negotiations in a hospital or payer environment. Demonstrated experience in negotiating various reimbursement methodologies in a hospital or payer environment. Maintains knowledge and understanding of the current trends and developments in healthcare reimbursement and payer strategy. This includes keeping abreast of new business opportunities, regulations, standards and directives regarding governmental/third party agencies (Medicare & Medicaid) and/or third-party payers. Comprehensive knowledge of managed care pricing and experience setting appropriate price levels for services rendered. Excellent interpersonal, problem solving, and leadership skills. Excellent negotiation skills including the ability to influence those over whom he/she has no formal authority. Demonstrated competence in building and leading effective and cohesive teams in a matrix environment. Ability to build and maintain strong business relationships with internal and external clients. Excellent written, oral, and presentation skills to clearly communicate and define strategies and resulting impacts to stakeholders. Preferred Experience Fifteen (15) years’ experience in a leadership role, overseeing managed care contract negotiations with Florida-based payers, hospitals, or related contracting operation environments. Demonstrated success leading negotiations for Medicare Advantage and Commercial agreements involving complex reimbursement structures, material financial exposure, and enterprise-level stakeholder visibility. Experience in oncology, academic medicine, or another specialty-intensive environment where service complexity, drug expense, and payer scrutiny require highly sophisticated contract design.  

Salary Range

Salary ranges posted for this position represent the expected base pay range for the role. Actual compensation may vary based on location and a variety of job-related factors, including experience, skills, education, and internal equity among Team Members in similar positions.


We are committed to maintaining fair and equitable pay practices and regularly review compensation to ensure alignment across our workforce.


Moffitt Career Site

 

 

If you have the vision, passion, and dedication to contribute to our mission,then we have a place for you!

1. Equal Employment Opportunity

Moffitt Cancer Center is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, age, or protected veteran or disabled status. We seek candidates whose skills, and personal and professional experience, have prepared them to contribute to our commitment to diversity and excellence.

2. Reasonable Accommodation

Federal law requires employers to provide reasonable accommodation to qualified individuals with disabilities. Please tell us if you require a reasonable accommodation to apply for a job or to perform your job. Examples of reasonable accommodation include making a change to the application process or work procedures, providing documents in an alternate format, using a sign language interpreter, or using specialized equipment. Moffitt endeavors to make moffitt.org/careers accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact one of the Human Resources receptionists by phone at 813-745-7899 or by email at [email protected]. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

Read more information about your EEO rights under the law

Transparency in Coverage Rule

Skills Required

  • Bachelor's degree in healthcare, business, law, or related field
  • Minimum of ten (10) years' experience directing third-party contracting within a complex health system
  • At least six (6) years managed care experience in provider or payer setting executing third-party negotiations
  • At least four (4) years management experience
  • Comprehensive knowledge of managed care principles, pricing, reimbursement methodologies, and payer strategy
  • Demonstrated experience in reimbursement analytics and managed care contract negotiations in hospital or payer environment
  • Experience designing and negotiating fee-for-service, bundled payments, shared savings, and risk-based agreements (value-based payment models)
  • Excellent negotiation, interpersonal, leadership, written, oral, and presentation skills
  • Master's degree or Juris Doctor (JD) preferred
  • Fifteen (15) years' leadership experience overseeing managed care contract negotiations, preferably with Florida-based payers (preferred)
  • Experience in oncology, academic medicine, or specialty-intensive environments (preferred)
  • Demonstrated success leading Medicare Advantage and commercial negotiations involving complex reimbursement and enterprise-level visibility (preferred)
Am I A Good Fit?
beta
Get Personalized Job Insights.
Our AI-powered fit analysis compares your resume with a job listing so you know if your skills & experience align.

The Company
11,000 Employees
Year Founded: 1986

What We Do

Moffitt Cancer Center is a Florida-based, NCI-designated comprehensive cancer center focused exclusively on cancer treatment, prevention, research, education and innovation. Its multidisciplinary clinicians and scientists work together to improve diagnosis, develop revolutionary breakthroughs, deliver individualized care and save more lives. Moffitt operates dedicated cancer hospitals and outpatient centers and serves patients while advancing oncology science through integrated clinical care and translational research.

Similar Jobs

Luxury Presence Logo Luxury Presence

Senior Devops Engineer

Marketing Tech • Real Estate • Software • PropTech • SEO
Easy Apply
Remote or Hybrid
12 Locations
500 Employees

UL Solutions Logo UL Solutions

Engineering Project Handler

Automotive • Professional Services • Software • Consulting • Energy • Chemical • Renewable Energy
Remote or Hybrid
Colombia
15000 Employees

UL Solutions Logo UL Solutions

Project Engineer

Automotive • Professional Services • Software • Consulting • Energy • Chemical • Renewable Energy
Remote or Hybrid
Colombia
15000 Employees

Cloudflare Logo Cloudflare

Senior Account Executive

Cloud • Information Technology • Security • Software • Cybersecurity
Remote or Hybrid
Colombia
4400 Employees

Similar Companies Hiring

Sailor Health Thumbnail
Healthtech • Social Impact • Telehealth
New York City, NY
20 Employees
Granted Thumbnail
Artificial Intelligence • Healthtech • Insurance • Mobile • Financial Services
New York, New York
23 Employees
OneImaging Thumbnail
Healthtech
Miami, FL
62 Employees

Sign up now Access later

Create Free Account

Please log in or sign up to report this job.

Create Free Account