Director Provider Contracting Credentialing Jobs

HealthCare Partners, IPA and HealthCare Partners, MSO together comprise our health care delivery system providing enhanced quality care to our members, providers and health plan partners. Active since 1996, HealthCare Partners (HCP) is the largest physician-owned and led IPA in the Northeast, serving the five boroughs and Long Island. Our network includes over 6,000 primary care physicians and specialists delivering services to our 125,000 members enrolled in Commercial, Medicare and Medicaid products.

Our MSO employs 165+ skilled professionals dedicated to ensuring members have access to the highest quality of care while efficiently utilizing healthcare resources. HCP's vision is to be recognized by members, providers and payers as the organization that delivers unsurpassed excellence in healthcare to the people of New York and their communities. We pride ourselves on selecting the most qualified candidates who reflect HCP's mission of serving our members by facilitating the delivery of quality care.

Interested in joining our successful Garden City Team. We are currently seeking a Vice President, Contracting. Position Summary: The Vice President, Contracting & Network Development is a key senior leader responsible for driving the strategic growth, expansion, and optimization of HealthCare Partners' (HCP) provider network and payer partnerships.

Reporting to executive leadership, this role oversees provider contracting, network development, and strategic business partnerships while ensuring alignment with HCP's mission, financial objectives, and value-based care strategy. The Vice President will develop and execute innovative network growth initiatives that expand market presence, strengthen provider and health plan relationships, improve network performance, and drive sustainable membership growth. This leader will work collaboratively across the organization to identify new business opportunities, optimize provider engagement, ensure regulatory compliance, and position HCP as the preferred Independent Practice Association (IPA) and strategic partner in the New York healthcare market.

Essential Position Functions/Responsibilities: Develop and execute HCP's provider contracting and network development strategy in support of organizational growth objectives. Lead all provider contracting activities, including negotiation, implementation, renewal, and maintenance of provider agreements. Direct provider recruitment efforts to expand network access, geographic coverage, and specialty representation.

Establish measurable network development goals and implement strategies to achieve targeted growth. Develop and maintain strong relationships with providers, physician groups, health systems, IPAs, and health plan partners. Collaborate with executive leadership to identify strategic partnership opportunities and new lines of business.

Ensure the provider network remains adequate, competitive, cost-effective, and compliant with all federal, state, payer, and accreditation requirements. Partner cross-functionally with Operations, Provider Relations, Clinical Services, Finance, Compliance, Credentialing, and Marketing to support successful implementation of network initiatives. Oversee provider onboarding and integration processes to ensure a positive provider experience and operational readiness.

Develop provider engagement strategies that improve satisfaction, retention, and participation in value-based care programs. Create executive presentations, business cases, and market analyses that communicate HCP's value proposition to providers and strategic partners. Monitor healthcare market trends, reimbursement models, regulatory changes, and competitive dynamics to inform strategic decision-making.

Develop departmental budgets, performance metrics, and operational plans. Lead, mentor, and develop high-performing contracting and network development teams while fostering a culture of accountability, collaboration, and continuous improvement. Participate in provider education, strategic planning, and organizational initiatives as required.

Travel approximately 50% throughout the New York market to support provider recruitment, relationship management, and business development activities. Qualification Requirements: Skills, Knowledge, Abilities Extensive knowledge of the New York healthcare marketplace, managed care, delegated models, and value-based payment arrangements. Deep understanding of provider contracting, credentialing, network adequacy, and healthcare reimbursement methodologies.

Demonstrated expertise in provider recruitment, physician relations, and strategic partnership development. Strong executive presence with exceptional negotiation, influencing, and relationship-building skills. Proven ability to develop and execute complex growth strategies and lead organizational change.

Strong analytical and financial acumen with experience leveraging data to drive strategic decisions. Excellent written, verbal, and presentation communication skills. Exceptional organizational, project management, and time management abilities.

Ability to manage multiple priorities in a fast-paced, highly regulated healthcare environment. Proficiency with Microsoft Office Suite, including Excel, PowerPoint, Word, and data reporting tools. Results-oriented, self-motivated, collaborative, and mission-driven leadership style.

Training/Education: Bachelor's degree in Business Administration, Healthcare Administration, Public Health, Management, or a related field required. Master's degree (MBA, MHA, MPH, or related discipline) strongly preferred. Experience: Minimum of 15-20 years of progressive healthcare leadership experience, with significant responsibility in provider contracting, network development, managed care, or business development.

Minimum of 10 years of executive or senior leadership experience. Minimum of 10 years of provider contracting and complex contract negotiation experience. Demonstrated experience managing provider networks within an IPA, health plan, MSO, ACO, or other managed care organization.

Strong experience negotiating with physician groups, hospitals, ancillary providers, and health plans. Experience leading business development, provider recruitment, and strategic partnership initiatives. Proven success developing and implementing network growth strategies that drive membership and revenue growth.

Project management and cross-functional leadership experience required. Experience with value-based care, delegated arrangements, risk-based contracts, and population health initiatives highly preferred. Our website: HealthCare Partners Base Compensation: $200,000.00 - $225,000.00 annually Bonus Incentive: Eligibility based off organizational performance Benefits: Fully paid Medical & Dental employee coverage + robust benefits package (PTO, 401k, FSA, Tuition Reimbursement, etc.) Equal Employment Opportunity Statement: HealthCare Partners, MSO is committed to fostering a diverse and inclusive workplace

We provide equal employment opportunities (EEO) to all employees and applicants without regard to race, color, religion, sex, national origin, age, disability, genetics, or any other protected status under federal, state, or local laws. In compliance with all applicable laws, HealthCare Partners, MSO upholds a strict non-discrimination policy in every location where we operate. This policy applies to all aspects of employment, including but not limited to recruitment, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Job Disclaimer: The above job description outlines the general scope and responsibilities of the position. It is not intended to be an exhaustive list of duties, skills, or qualifications required. Responsibilities may evolve based on business needs.

Department: Network Relations This is a management position This is a full time position