Provider Network Management Director

Location: Hybrid in Woodland Hills, Costa Mesa, or Walnut Creek, California; in-office three days per week. Candidates must live within a reasonable commuting distance unless an accommodation is granted.

Salary: $118,588–$185,616 annually.

Company

hirify.global is a Fortune 25 healthcare company focused on improving lives and communities and simplifying healthcare.

What you will do

• Develop provider networks through contract negotiations, relationship development, and provider servicing.
• Lead complex, large-scale negotiations with health systems, affiliated physician groups, and ancillary providers.
• Act as a subject matter expert for local contracting and specialized contracting processes.
• Lead enterprise network management initiatives and projects with significant business-unit impact.
• Support network development planning, field-staff prioritization, associate mentoring, and provider communications.
• Prepare financial projections and analyze customized fee schedules and provider rates.

Requirements

• BA/BS degree or an equivalent combination of education and experience.
• At least 8 years of experience in contracting, provider relations, or provider servicing, including prior contracting experience.
• Experience with value-based contracting, shared savings, or ACO development.
• Strong negotiation, judgment, discretion, and independent decision-making skills.
• Ability to work from a reasonable commuting distance to the California posting locations and attend the office three days per week.

Nice to have

• Experience supporting hospital systems.
• Experience using financial models and analysis to negotiate provider rates.
• Enterprise-wide experience across Commercial, Medicaid, and Medicare lines of business.
• High-impact provider negotiation and fee schedule customization experience.
• Claims experience and willingness to travel to worksites or other locations as needed.

Culture & Benefits

• Hybrid workforce strategy combining office collaboration with virtual-work flexibility.
• Medical, dental, vision, disability, life insurance, and wellness benefits.
• Paid holidays, paid time off, merit increases, and incentive bonus programs.
• 401(k) with company match, stock purchase plan, and financial education resources.
• Equal employment opportunity and workplace accommodation support.