Director, Contract Insights Solutions

Job Summary :

The Director, Contract Insights Solutions is responsible for leading the strategy, design, and oversight of the technical infrastructure, analytics platforms, and data products that support the Provider Contract Analytics function. This role directs a team responsible for building and maintaining scalable pricing engines, claims modeling frameworks, data tables, and business intelligence tools used for provider contracting, reimbursement analytics, and performance monitoring. The Director partners closely with Reimbursement Analytics, Configuration, IT, and Actuarial teams to ensure the organization has accurate, reliable, and timely analytic tools and data assets that enable data-driven decision making, support network optimization, and ensure alignment with regulatory and contractual requirements.

Essential Functions :

• Own data architecture and governance strategy for PCA tables, SQL pipelines, and pricing engines
• Lead design and implementation of large-scale claims pricing models
• Oversee validation frameworks to ensure accuracy and alignment with reimbursement policy
• Design and manage Power BI dashboards, data marts, and analytic tools to support market contracting
• Establish and enforce standards for reports, tables, KPIs, and reusable code logic
• Maintain centralized, version-controlled code repositories for pricing models and analytics
• Collaborate with Reimbursement Analytics and Configuration teams to align contract language, configuration, and pricing tools
• Develop and monitor data quality controls to ensure the integrity of claims and provider data
• Automate recurring reports and analytic workflows to increase efficiency
• Act as technical subject matter expert to market analytics teams
• Manage vendor relationships for pricing and analytics platforms
• Hire, train, mentor, develop and evaluate a team of technical analysts, data engineers, and BI developers
• Track department-level SLAs and performance metrics for pricing turnaround, data refresh, and tool availability
• Perform any other duties as requested

Education and Experience :

Competencies, Knowledge and Skills :

Licensure and Certification :

Working Conditions :

Compensation Range :

$132,900.00 - $232,700.00 CareSource takes into consideration a combination of a candidate's education, training, and experience as well as the position's scope and complexity, the discretion and latitude required for the role, and other external and internal data when establishing a salary level. In addition to base compensation, you may qualify for a bonus tied to company and individual performance. We are highly invested in every employee's total well-being and offer a substantial and comprehensive total rewards package.

Compensation Type : Salary

Competencies :

This job description is not all inclusive. CareSource reserves the right to amend this job description at any time. CareSource is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of all backgrounds.

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