EXECUTIVE DIRECTOR STRATEGIC CONTRACTING

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 Moffitt Cancer Center’s multi‑billion‑dollar Contract 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. The Director 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 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‑care optimization, 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 Bachelor’s Degree in Healthcare, Business, Law, or related field. Preferred Education Master’s Degree in Healthcare, Business, Law (Juris Doctor JD preferred) or related field. Minimum Experience At least 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. At least six (6) years of managed‑care experience in the health care provider or payer setting, executing third‑party negotiations with appropriate communications, analytics, and results; 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, impact, and implementation. At least four (4) years of management experience. Skills and Specialized Training 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 current trends and developments in healthcare reimbursement and payer strategy, including 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 the individual 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. #J-18808-Ljbffr