Vice President, Direct Network Strategy
Vice President, Direct Network Strategy
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Job Description
Alignment Health is breaking the mold in conventional health care committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we this fast-growing company you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters not only changing lives but saving them. Together.
The Vice President of Direct Network Strategy is responsible for developing executing and monitoring the strategic and tactical plans to implement a comprehensive Direct Network of primary care physicians and specialists across existing and expansion markets with a primary focus in California. The Vice President of Direct Network Strategy will be responsible for implementing a scalable value driven direct provider network that supports Alignment Healths goals for quality cost effectiveness access and member experience.General Duties/Responsibilities (May include but are not limited to):
Develop and Execute Network Strategy - Lead the overarching strategy to expand and optimize a high-performing Direct Provider Network to drive market growth and stability with a focus in California.
Drive Network Expansion Accelerate the growth of the Direct Network across existing and emerging markets ensuring geographic adequacy clinical integration and competitive positioning.
Lead Contracting Strategy and Financial Performance - Implement diverse contracting methodologies including shared savings and value-based programs that incentivize quality performance and long-term provider partnerships. Manage the financial planning related to network costs and provider contracts ensuring alignment with organizational goals.
Strategic Leadership for Direct Network Recruitment - Lead and manage all aspects of Direct Network development including executing market-specific strategies to identify recruit and contract with high-quality PCPs and specialists as well as oversee onboarding and ongoing education to ensure effective integration and alignment.
Procure Market Intelligence - Monitor industry trends market dynamics and regulatory changes to identify opportunities for Direct Network development expansion and optimization.
Enhance Provider Engagement Foster deep and sustained engagement with the Direct Network providers through continuous relationship management and performance monitoring to build collaborative partnerships that drive growth.
Build and Lead High-Performing Teams - Hire mentor and manage a team of network management and contracting professionals to support all Direct Network initiatives.
Establish and Monitor Performance Metrics - Define and track key performance indicators (KPIs) and OKRs related to Direct Network recruitment network adequacy cost quality utilization and provider engagement. Implement performance improvement plans where needed to support course correction to achieve targeted goals.
Ensure Regulatory Compliance - Maintain compliance with federal state and contractual requirements including network adequacy access standards and credentialing.
Foster Cross-Functional Collaboration - Partner with regional GMs Finance Clinical and Operations teams to align network strategies with broader market and organizational goals.
Supervisory Responsibilities:
Oversees assigned staff. Responsibilities include recruiting orienting and training employees; assigning workload; planning monitoring and evaluating job results; and coaching counseling and disciplining employees.
Minimum Requirements:
To perform this job successfully an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Minimum Experience:
10 years of progressive leadership with experience in healthcare network strategy value based provider contracting and Medicare Advantage.
Familiarity with supporting primary care transformation and risk-bearing provider entities.
Multi-market network development experience.
Education/Licensure:
Requires a Bachelors degree in Public Health Healthcare Administration Business or related field: Masters degree strongly preferred.
Other:
Strong knowledge of primary care dynamics value-based care principles and the role of PCPs in population health management.
Proven track record of building and contracting with diverse provider networks including engaging primary care providers and specialists across diverse markets and delivery systems.
Experience with designing and implementing value-based care programs focused on quality patient experience and total cost of care.
Exceptional leadership negotiation and relationship management skills.
Demonstrated ability to work cross-functionally and lead in a matrixed environment.
Strong data analysis project management and communication skills
Experience working in or with health plans provider organizations or quality-focused healthcare settings in the Medicare Advantage space.
Excellent oral written and presentation skills
Pay range may be based on a number of factors including market location education responsibilities experience etc.
Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin disability age protected veteran status gender identity or sexual orientation.
*DISCLAIMER:Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal be advised that Alignment Health and its subsidiaries will never ask you for a credit card send you a check or ask you for any type of payment as part of consideration for employment with our you feel that you have been the victim of a scam such as this please report the incident to the Federal Trade Commission at If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Healths talent acquisition team please email.
Required Experience:
Chief
Employment Type
Full-Time
