Principal, Strategic Contracting

Lumeris

1d•Remote

About The Position

At Lumeris, we believe that our greatest achievements are made possible by the talent and commitment of our team members. That's why we are actively seeking talented and collaborative individuals who are passionate about making a difference in the healthcare industry. Join us today as we strive to create a system of care that every doctor wants for their own family and become part of a community that values its people and empowers you to make an impact. Position: Principal, Strategic Contracting Position Summary: The Principal, Strategic Contracting is a senior, expert-level negotiator responsible for personally leading the company's most critical and complex provider contract negotiations. This individual will serve as the lead negotiator for Tier 1 health systems and other strategically vital provider partners, leveraging deep financial acumen and industry expertise to structure innovative, value-based agreements. This role is focused on driving significant financial and strategic outcomes through expert negotiation, sophisticated analysis, and C-suite relationship management. Success in this role is built on deep, trust-based relationships with our provider partners. Therefore, a core requirement of this position is residence within one of our key markets (IL, KY, AR, or MO) to ensure a consistent and impactful in-market presence.

Requirements

10+ years of progressive experience in managed care contracting, with a demonstrated track record of personally leading and winning multi-million dollar negotiations with major hospital systems.
Recognized as an expert in Medicare Advantage risk arrangements, including capitation, global risk, and shared savings models.
Proven ability to operate with a high degree of autonomy, influence business decisions, and be accountable for financial results.
Exceptional financial modeling and analytical skills are required.
Bachelor’s degree required

Nice To Haves

Master's degree preferred.

Responsibilities

Personally own and lead the full lifecycle of high-stakes, multi-year contract negotiations with the company's largest and most complex health system partners.
Develop and execute sophisticated, data-driven negotiation strategies to secure best-in-class terms, with a heavy focus on advancing value-based care models.
Serve as the lead subject matter expert and internal consultant on complex reimbursement methodologies, risk arrangements, and negotiation tactics, working with complete latitude for independent judgment.
Create, analyze, and present complex financial models to justify negotiation positions and demonstrate the financial impact of proposed terms to executive leadership.
Build and maintain strong, influential peer-to-peer relationships with C-suite and senior executives at major provider organizations, acting as a distinguished representative of the company.
This is a senior individual contributor leadership role with no direct reports.