VP - Network Management, SD/OC

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  "location": {
    "raw": "600 City Parkway West 10th Floor, Orange, CA 92868, CA, California",
    "city": "Orange",
    "region": "CA",
    "country": "United States",
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      "raw": "600 City Parkway West 10th Floor, Orange, CA 92868, CA, California",
      "city": "Orange",
      "region": "CA",
      "country": "United States",
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    "countries": [
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  "remote_policy": "hybrid",
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  "workplace_type": "hybrid",
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{
  "id": "438438",
  "job": {
    "id": "447265",
    "division": {
      "id": "6527",
      "name": "KZX - Astrana Health Management, Inc."
    },
    "department": {
      "id": "59526",
      "name": "Network Management - SoCal"
    },
    "requisition_id": "ASTH-2236",
    "structure_custom_group_one": null
  },
  "url": "https://careers.astranahealth.com/en/postings/0d5d7fcd-5128-4630-8195-a20ed5450697",
  "path": "/en/postings/0d5d7fcd-5128-4630-8195-a20ed5450697",
  "title": "VP - Network Management, SD/OC",
  "benefits": "<ul><li><!--block-->This position will require weekly travel anywhere between Los Angeles and San Diego.&nbsp;</li><li><!--block-->The total compensation target pay range for this role is: $175,000 to $230,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.</li></ul><div><!--block-->Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at <a href=\"mailto:[email protected]\">[email protected]</a> to request an accommodation.&nbsp;<br><br></div><div><!--block--><strong>Additional Information:</strong>&nbsp;</div><div><!--block-->The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.</div>",
  "location": {
    "id": "46515",
    "city": "CA",
    "name": "600 City Parkway West 10th Floor, Orange, CA 92868",
    "province": "California",
    "postal_code": "92868"
  },
  "deadline_at": null,
  "description": "<div><!--block-->Astrana Health is seeking an experienced and strategic Network Leader to oversee and expand provider network operations across the San Diego (SD) and Orange County (OC) markets. This senior leadership role is responsible for achieving regional financial metrics, benchmarks, membership targets and physician development goals, while ensuring quality and service to members, physicians and provider partners.&nbsp;<br><br>The Network Leader will serve as the primary executive liaison with contracted providers, health plans, and internal operational teams. This individual will lead large-scale initiatives across value-based care performance, network optimization, risk arrangements, and provider success. The role may be filled at either the Senior Director or Vice President level depending on experience.</div>",
  "compensation": "$175,000 - $230,000 / year",
  "reporting_to": "Lourdes Aberto",
  "workplace_type": "hybrid",
  "benefits_header": "Environmental Job Requirements and Working Conditions",
  "employment_type": "full_time",
  "workplace_type_text": "Hybrid",
  "compensation_maximum": 230000,
  "compensation_minimum": 175000,
  "compensation_visible": true,
  "employment_type_text": "Full Time",
  "key_responsibilities": "<div><!--block--><strong>Strategic Network Leadership</strong></div><ul><li><!--block-->Lead the development and execution of network strategy for the <strong>SD and OC markets</strong>, ensuring alignment with Astrana Health’s business goals and growth priorities</li><li><!--block-->Identify market expansion opportunities, evaluate competitive landscape, and recommend strategies for provider exclusivity, acquisition, retention, and optimization</li><li><!--block-->Serve as the primary executive representative for all regional provider network operations</li></ul><div><!--block--><strong>Provider Engagement &amp; Relations</strong></div><ul><li><!--block-->Build and maintain strong, collaborative relationships with physicians, medical groups, ambulatory clinics, health systems, hospitals, and other network partners</li><li><!--block-->Oversee onboarding, integration, and ongoing support for contracted providers to ensure positive engagement and satisfaction</li><li><!--block-->Lead provider performance discussions, including quality metrics, utilization trends, and financial performance</li></ul><div><!--block--><strong>Contracting &amp; Negotiation</strong></div><ul><li><!--block-->Direct contracting strategic efforts, in coordination with Provider Contracting, across SD and OC, including negotiating rates, value-based arrangements, capitation agreements, and strategic partnerships</li><li><!--block-->Contribute to Payor Contracting initiatives and negotiations with market information and Network Management insights and data</li><li><!--block-->Ensure compliance with regulatory requirements, health plan standards, and contractual obligations</li></ul><div><!--block--><strong>Operational Execution &amp; Performance Management</strong></div><ul><li><!--block-->Partner with MSO leadership, claims, UM, CM, Risk/Quality, analytics, and finance teams to drive operational excellence across assigned markets</li><li><!--block-->Analyze network performance, identify gaps, and implement corrective action plans to improve quality, utilization, access, and financial outcomes</li><li><!--block-->Impact profitability and market position by managing the following: strategic membership growth initiatives, medical loss ratio, performance program compliance (HEDIS, P4V, STARS), clinical care program participation, encounter data submissions, provider satisfaction, provider contract strategy and physician rewards</li><li><!--block-->Oversee&nbsp; dashboards, KPIs, and reports to provide clear visibility into network health</li></ul><div><!--block--><strong>Leadership &amp; Cross-Functional Collaboration</strong></div><ul><li><!--block-->Lead and mentor regional network teams, supporting network managers, provider relations, contracting, and operational alignment</li><li><!--block-->Collaborate closely with senior leadership, market presidents, and clinical executives to ensure a unified strategy across Southern California markets</li><li><!--block-->Represent Astrana Health in market-level committees, health plan meetings, and industry events as needed</li></ul>",
  "compensation_currency": "USD",
  "compensation_frequency": "year",
  "skills_knowledge_expertise": "<ul><li><!--block-->Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or related field required</li><li><!--block-->Minimum <strong>7+ years (Sr Director)</strong> or <strong>10+ years (VP)</strong> progressive leadership experience in provider network management, managed care contracting, IPA/MSO operations, or value-based care</li><li><!--block-->Deep understanding of Southern California healthcare markets, including provider networks, IPA operations, and health plan partnerships</li><li><!--block-->Demonstrated success negotiating complex provider contracts, including risk-based arrangements</li><li><!--block-->Strong analytic and strategic planning skills with proven ability to drive performance outcomes</li></ul><div><!--block--><strong>Strongly Preferred</strong></div><ul><li><!--block-->Master’s degree (MBA, MHA, MPH)</li><li><!--block-->Experience working in capitated environments, delegated IPA/MSO structures, or full-risk Medicare Advantage models</li><li><!--block-->Established relationships with physicians, medical groups, and health plans in the SD/OC markets</li><li><!--block-->Experience managing multi-site teams and leading large-scale organizational initiatives</li><li><!--block-->Strategic thinking and market insight</li><li><!--block-->Executive communication and relationship building</li><li><!--block-->Advanced negotiation and contract strategy</li><li><!--block-->Operational and financial acumen</li><li><!--block-->Leadership, coaching, and team development</li><li><!--block-->Ability to thrive in a fast-paced, evolving environment</li></ul>",
  "key_responsibilities_header": "What You'll Do",
  "skills_knowledge_expertise_header": "Qualifications"
}