Sr. DirectorVP Market Leader (SDOC)

California, CA - USA

Yearly Salary: $ 175000 - 230000

Posted on: 13 hours ago

Vacancies: 1 Vacancy

Job Summary

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.

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.

What Youll Do

Strategic Network Leadership

Lead the development and execution of network strategy for the SD and OC markets ensuring alignment with Astrana Healths business goals and growth priorities
Identify market expansion opportunities evaluate competitive landscape and recommend strategies for provider exclusivity acquisition retention and optimization
Serve as the primary executive representative for all regional provider network operations

Provider Engagement & Relations

Build and maintain strong collaborative relationships with physicians medical groups ambulatory clinics health systems hospitals and other network partners
Oversee onboarding integration and ongoing support for contracted providers to ensure positive engagement and satisfaction
Lead provider performance discussions including quality metrics utilization trends and financial performance

Contracting & Negotiation

Direct contracting strategic efforts in coordination with Provider Contracting across SD and OC including negotiating rates value-based arrangements capitation agreements and strategic partnerships
Contribute to Payor Contracting initiatives and negotiations with market information and Network Management insights and data
Ensure compliance with regulatory requirements health plan standards and contractual obligations

Operational Execution & Performance Management

Partner with MSO leadership claims UM CM Risk/Quality analytics and finance teams to drive operational excellence across assigned markets
Analyze network performance identify gaps and implement corrective action plans to improve quality utilization access and financial outcomes
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
Oversee dashboards KPIs and reports to provide clear visibility into network health

Leadership & Cross-Functional Collaboration

Lead and mentor regional network teams supporting network managers provider relations contracting and operational alignment
Collaborate closely with senior leadership market presidents and clinical executives to ensure a unified strategy across Southern California markets
Represent Astrana Health in market-level committees health plan meetings and industry events as needed

Qualifications

Bachelors degree in Healthcare Administration Business Administration Public Health or related field required
Minimum 7 years (Sr Director) or 10 years (VP) progressive leadership experience in provider network management managed care contracting IPA/MSO operations or value-based care
Deep understanding of Southern California healthcare markets including provider networks IPA operations and health plan partnerships
Demonstrated success negotiating complex provider contracts including risk-based arrangements
Strong analytic and strategic planning skills with proven ability to drive performance outcomes

Strongly Preferred

Masters degree (MBA MHA MPH)
Experience working in capitated environments delegated IPA/MSO structures or full-risk Medicare Advantage models
Established relationships with physicians medical groups and health plans in the SD/OC markets
Experience managing multi-site teams and leading large-scale organizational initiatives
Strategic thinking and market insight
Executive communication and relationship building
Advanced negotiation and contract strategy
Operational and financial acumen
Leadership coaching and team development
Ability to thrive in a fast-paced evolving environment

Environmental Job Requirements and Working Conditions

This position will require weekly travel anywhere between Los Angeles and San Diego.
The total compensation target pay range for this role is: $175000 to $230000. Actual compensation will be determined based on geographic location (current or future) experience and other job-related factors.

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 to request an accommodation.

Additional Information:

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.

Required Experience:

Exec