Director, Network Partnerships – Contracting

🕒 August 7

🇺🇸 United States – Remote

💵 $140.3k - $187.1k / year

⏰ Full Time

🔴 Lead

💰 Account Manager

👻 Ghost score 13%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Gravie

WebsiteLinkedInAll Job Openings

201 - 500 employees

Founded 2013

🏥 Healthcare

🛡️ Insurance

🤝 B2B

💰 $150M Private Equity Round - Gravie on 2025-05

Healthcare • Insurance • B2B

Gravie is a benefits and health insurance solutions company that helps small and midsize employers, brokers, and employees access and administer more flexible, affordable health benefits. Its flagship offerings include Comfort (a level-funded health plan), Gravie ICHRA (Individual Coverage Health Reimbursement Arrangement administration), Gravie Pay (support for healthcare costs), and Gravie Care; the company focuses on enabling SMBs to offer individualized, lower-cost coverage and simplifying benefits administration.

📋 Description

• Shape and execute the network strategy for Gravie's health plan • Identify and prioritize new market opportunities • Evaluate regional networks, network economics, competitor positioning, regulatory trends, and innovative partnership models • Develop relationships with prospective network partners and articulate Gravie's value proposition • Independently develop and own new network partnerships and launches • Build compliant, competitively priced provider networks in new geographies • Ensure contracts and network operations meet access, network adequacy, and federal and state regulatory requirements • Scope and assess leased network opportunities and partnerships, including centers of excellence, advanced primary care, and value-based care models • Negotiate network agreements through signature and deliver complete implementation packages • Resolve contract questions or discrepancies during implementation • Assess national network solutions and leased-network competitiveness, including rate benchmarking and discount validation • Negotiate high-dollar provider recoupments • Own contract lifecycle management, including repository maintenance, deadline tracking, and monitoring escalator, amendment, and reporting obligations • Serve as senior escalation point for provider and vendor contract disputes • Track industry trends and competitor positioning • Partner with executive leadership on network strategy, budgeting, and cost-containment initiatives • Collaborate with Network leadership, Finance, Actuarial, Compliance, Product, Sales, Marketing, and Engineering to develop scalable network products

🎯 Requirements

• Bachelor's degree, or equivalent experience • 8+ years of experience in provider contracting, network management, healthcare reimbursement, or network strategy • Deep fluency in provider payment methodologies, including DRGs and case rates, per diems, percent-of-charges, and fee schedules • 5+ years of experience in contracting or network roles supporting the commercial group market and employer-sponsored health plans • Strong understanding of TPA, ASO, and/or leased-network arrangements • 5+ years of experience independently drafting and negotiating complex healthcare agreements, including direct provider agreements with hospitals, health systems, and physician groups • 4+ years of experience ensuring healthcare contracts and networks meet applicable federal and state regulatory requirements, including state DOI network adequacy standards and federal requirements such as the No Surprises Act • 3+ years of experience developing and negotiating value-based care arrangements, such as shared savings, risk-based models, bundled payments, or pay-for-performance arrangements • 2+ years of experience partnering cross-functionally to bring network products to market • Experience launching provider networks in new geographies or markets • Experience at a small or mid-sized health plan • Familiarity with contracting or network configuration systems • Previous startup company experience • Project or program management experience • Currently authorized to work in the United States • Must answer whether employer visa sponsorship is required

🏖️ Benefits

• Alternative medicine coverage • Flexible PTO • Up to 16 weeks paid parental leave • Paid holidays • 401k program • Transportation perks • Education reimbursement • 2 days of paid paw-ternity leave • Equity • Bonus