About Guidant Health Guidant Health is a risk-bearing, value-based care platform scaling across California — spanning a Knox-Keene licensed entity, owned and affiliated Independent Physician Associations (IPAs), a management services organization (MSO), and a growing clinic footprint serving Medi-Cal and Medicare Advantage populations. We're on an aggressive growth path built on acquisitions, joint ventures, and new-market entry. The Opportunity This is a chance to build, not inherit. As Director, Provider and Payer Contracting, you'll own our entire contracting engine across California — the provider networks that deliver care and the health plan agreements that fund them. Reporting to the Chief Growth Officer, you'll turn our growth strategy into signed deals and see your work show up in communities that need better care. What You'll Do Own end-to-end provider contracting statewide — recruiting and negotiating with physicians, medical groups, IPAs, and ancillary providers across capitation, fee-for-service, and shared-risk arrangements. Lead payer (health plan) negotiations across Medicare Advantage, Commercial, and Medi-Cal — capitation rates, risk-sharing terms, Divisions of Financial Responsibility (DOFRs), and delegation agreements. Build and maintain network adequacy across new and existing markets, including de novo IPA build-outs and affiliate growth. Model the economics — set and defend rate positions using medical loss ratio (MLR), membership, and total-cost-of-care data. Keep every agreement compliant with California managed care regulation (Knox-Keene, DMHC, risk-bearing organization requirements, and CMS Medicare Advantage rules). Partner across finance, operations, credentialing, and growth to get contracts signed, loaded, and live — and mentor a contracting team as the function scales. What You'll Bring 7-10+ years of managed care contracting experience (provider and/or payer), with progressive responsibility. 3+ years at a health plan, medical group, IPA, or MSO in California managed care. Command of reimbursement methodologies — capitation, fee-for-service, shared-risk, and case rates. Working fluency in California managed care regulation — Knox-Keene, DMHC, DOFRs, and delegation agreements. Strong financial analysis and contract-modeling skills. Bachelor's degree, or equivalent experience. Bonus Points Direct Medicare Advantage and IPA/MSO risk-model experience. Experience standing up contracting for new markets or de novo IPAs. Master's degree (MBA or MHA) and prior people-leadership experience.

Pay:

$180,000.00 - $230,000.00 per year

Benefits:

401(k) Dental insurance Flexible spending account Health insurance Paid time off Vision insurance

Work Location:

Hybrid remote in Murrieta, CA 92563