Director of National Contracting bei American Health Care Association / National Center for Assisted Living (AHCA/NCAL)

AHCA/NCAL is seeking a Director of National Contracting to improve lives by delivering solutions for quality care by supporting high-quality care through effective management of value-based contracting across AHCA/NCAL Solutions network(s). The position is responsible for payer negotiations, developing value-based programs, oversight of Contracting Committees, and ensuring successful contract implementation.

Qualifications & Skills: 

Bachelor’s degree required; graduate degree in a related field preferred. Minimum 10 years of healthcare experience required, including knowledge of post-acute care. Proven experience in network development, payer contracting, and negotiation required. Value-based reimbursement experience strongly preferred. Project management experience required, with ability to prioritize, plan, and execute multiple initiatives effectively.

 Duties & Responsibilities:

• Lead and manage contract negotiations with payers, including messenger model activities ,  contract implementation, and ongoing contract management.
• Secure profitable health plan agreements aligned with AHCA standards and industry best practices.
• Negotiate evergreen contracts that include annual rate increases tied to the Medical Consumer Price Index guidelines.
• Design, negotiate and implement innovative contracting models – such as   value-based contracts, episodic payment models and case rates, that incentivize provider performance.
• Partner with the Sr. Director of Network Management to build and maintain strong payer relationships through key account management and regular scorecard reviews.
• Educate members on contract terms, policies and procedures and other aspects of network participation.
• Facilitating Contracting Committee activities for various state networks. This includes seeking input from the Committee on Network priorities, contract negotiations and gaining support for new models and contracts.

• Other duties as assigned.