System Director, Employer, Commercial and Value Based Contracting

As our System Director, Employer Strategy, Commercial Growth & Alternative Payment Models you will be responsible for developing and executing CommonSpirit Health's national strategy for employer-sponsored healthcare solutions, commercial growth initiatives, and alternative payment model (APM) partnerships. This leader serves as a strategic bridge between employer markets, payer strategy, clinically integrated networks, population health, and provider operations to develop innovative solutions that improve affordability, quality, access, and value for employers, health plans, and consumers.

The role leads the design, development, commercialization, implementation, and performance management of employer-focused healthcare products, direct-to-employer arrangements, self-funded employer solutions, commercial value-based contracts, and alternative payment models. This includes partnerships with employers, brokers, consultants, TPAs, health plans, provider networks, and other distribution channels.

The Director is responsible for identifying new business development opportunities, expanding commercial membership and market share, supporting payer contracting strategies, and developing innovative reimbursement structures including shared savings, shared risk, bundled payments, capitation, centers of excellence, narrow networks, tiered networks, direct contracting arrangements, and population health solutions. The position operates within a highly matrixed environment and requires significant collaboration across national, regional, and market leadership teams.

• Lead the development and execution of CommonSpirit Health's employer strategy, commercial growth strategy, and alternative payment model roadmap across national, regional, and market-based opportunities.
• Develop innovative healthcare solutions for self-funded employers, fully insured commercial groups, labor organizations, public sector employers, and other commercial purchasers of healthcare services.
• Design, negotiate, implement, and monitor commercial value-based contracts and alternative payment models including shared savings, shared risk, bundled payments, episodic payments, commercial capitation, population-based reimbursement arrangements, and other emerging payment methodologies.
• Partner with Payer Strategy & Analytics leadership to support commercial fee-for-service negotiations, value-based contracting initiatives, and out-of-network strategies by developing employer-focused solutions and market differentiation strategies.
• Develop and maintain a Commercial Payer Strategy Playbook that evaluates payer market dynamics, competitive positioning, reimbursement structures, network strategies, employer purchasing trends, and emerging commercial market opportunities.
• Lead business development efforts with employers, consultants, brokers, TPAs, health plans, benefit advisors, and distribution partners to expand membership, increase market share, and grow enterprise revenue.
• Collaborate with clinically integrated networks, population health teams, physician enterprises, and operational leaders to design products and programs that support clinical quality, utilization management, affordability, and sustainable financial performance.
• Evaluate opportunities for direct-to-employer contracting, centers of excellence arrangements, steerage programs, reference-based pricing strategies, narrow network products, and high-performance network solutions.
• Partner with actuarial, analytics, finance, and underwriting resources to develop pricing methodologies, financial models, risk assessments, performance guarantees, and ROI analyses supporting employer and commercial payer opportunities.
• Lead implementation and operational readiness activities for employer-sponsored programs, ensuring successful onboarding, stakeholder engagement, performance reporting, and customer satisfaction.
• Oversee strategic relationships with TPAs, commercial health plans, stop-loss carriers, consultants, brokers, employer coalitions, and other external partners.
• Monitor commercial payer performance, membership growth, reimbursement trends, market share shifts, competitive intelligence, and emerging healthcare delivery models to identify opportunities for growth and innovation.
• Recruit, develop, mentor, and lead a high-performing team capable of supporting employer strategy, commercial growth, value-based contracting, and alternative payment model initiatives across the enterprise.

Required

• Bachelor’s degree required. Master’s degree preferred in relevant field of study in Business Administration, Healthcare Administration, Public Health, Economics, Finance, Actuarial Science, Health Policy, or related field.
• A minimum of ten (10) years of responsibility in one or more of the following areas:

• Employer healthcare strategy
• Commercial payer contracting
• Alternative payment models
• Value-based care
• Provider network strategy
• Health plan product development
• Population health
• Benefits consulting
• Healthcare economics
• Direct-to-employer solutions
• Healthcare business development

• A minimum of five (5) years of experience in program, project, product and/or client relationship management with progressive management in a healthcare or health insurance environment

Preferred

• Master’s degree preferred in relevant field of study in Business Administration, Healthcare Administration, Public Health, Economics, Finance, Actuarial Science, Health Policy, or related field.
• Life and Health license helpful
• PMP certification helpful

Required Minimum Knowledge, Skills, Abilities and Training

• Deep understanding of employer-sponsored healthcare markets, including fully insured, self-funded, level-funded, and alternative funding arrangements.
• Experience developing and implementing commercial value-based contracts including shared savings, downside risk, bundled payments, capitation, and population health arrangements.
• Knowledge of commercial payer reimbursement methodologies, provider network design, risk adjustment, medical economics, actuarial principles, and healthcare finance.
• Experience working with health plans, TPAs, benefits consultants, brokers, employer coalitions, and provider organizations.
• Demonstrated success developing new products, launching new programs, growing membership, increasing revenue, or expanding market share.
• Strong business development, negotiation, relationship management, and executive communication skills.

Inspired by faith. Driven by innovation. Powered by humankindness. CommonSpirit Health is building a healthier future for all through its integrated health services. As one of the nation’s largest nonprofit Catholic healthcare organizations, CommonSpirit Health delivers more than 20 million patient encounters annually through more than 2,300 clinics, care sites and 137 hospital-based locations, in addition to its home-based services and virtual care offerings. CommonSpirit has more than 157,000 employees, 45,000 nurses and 25,000 physicians and advanced practice providers across 24 states and contributes more than $4.2 billion annually in charity care, community benefits and unreimbursed government programs. Together with our patients, physicians, partners, and communities, we are creating a more just, equitable, and innovative healthcare delivery system.