EXECUTIVE DIRECTOR STRATEGIC CONTRACTING

SummaryThe 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 andmanaged care contract negotiations across the Cancer Center, including hospital, employed physiciangroup, 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 Groupphysicians.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 negotiatingfee-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 providingpayer 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 specificnegotiation positions tied to drug administration, specialty pharmacy, infusion reimbursement, radiation treatment, advanced therapies, and payer policies that can materially affect access or margin.Minimum EducationEducation Level Field of Study NotesBachelor's Degree Healthcare, business, Law orrelated field.Preferred EducationEducation Level Field of Study NotesMaster's Degree Healthcare, business, Law (JurisDoctor JD preferred) or relatedfieldMinimum Experience RequiredA minimum of ten (10) years' experience in managed care, healthcare finance, strategy, or healthcaremanagement directing and managing all aspects of third party contracting within a complex healthsystem.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. Thisincludes experience building a pricing strategy with advanced terms/conditions that meet theneeds of a complex, tertiary care facility and developing strategies related to advancing pricetransparency, it's impact and implementation. At least four (4) years management experienceMinimum Skills/Specialized Training RequiredComprehensive knowledge and understanding of managed care principles and practices with strongstrategic skills in development of new relationships and new payment models.Demonstrated experience in reimbursement analytics and managed care contract negotiations in ahospital or payer environment.Demonstrated experience in negotiating various reimbursement methodologies in a hospital or payerenvironment.Maintains knowledge and understanding of the current trends and developments in healthcarereimbursement 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 forservices rendered.Excellent interpersonal, problem solving, and leadership skills.Excellent negotiation skills including the ability to influence those over whom he/she has no formalauthority.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 resultingimpacts to stakeholders.Preferred ExperienceFifteen (15) years’ experience in a leadership role, overseeing managed care contract negotiations withFlorida-based payers, hospitals, or related contracting operation environments.Demonstrated success leading negotiations for Medicare Advantage and Commercial agreementsinvolving complex reimbursement structures, material financial exposure, and enterprise-levelstakeholder visibility.Experience in oncology, academic medicine, or another specialty-intensive environment where servicecomplexity, drug expense, and payer scrutiny require highly sophisticated contract design.