WelbeHealth - Senior Director, Network Strategy
Requirements
• Bachelor’s degree required; advanced degree preferred • Minimum of ten (10) years of experience in provider network strategy and managed care contracting • Must have experience leading negotiations with hospitals, health systems, and large provider organizations • Knowledge of network adequacy standards, provider operations, reimbursement methodologies, and value-based care models • Must have demonstrated success building provider networks across multiple markets or regions, with a focus on California • Must have experience within Medicare, Medicaid, managed care, PACE, or value-based care environments • Two (2) years of supervisory experience with demonstrated ability to mentor and develop team members • Strong leadership experience managing high-performing teams in a matrixed organization • If you’re a strategic network leader who is energized by building strong provider partnerships, navigating complex negotiations, and shaping networks that expand access to high-quality care, we’d love to hear from you! • Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.
Responsibilities
• Develop and lead enterprise network strategies across existing and emerging markets, supporting market expansion efforts by designing strategies aligned to growth plans and local market dynamics • Assess and monitor network adequacy to ensure participants have timely access to high-quality providers, specialists, hospitals, and ancillary services, as well as identify network gaps, access barriers, and market-specific needs, developing strategies to address them • Monitor industry trends, regulatory requirements, and competitive market conditions that may impact network development and strategy • Lead, mentor, and develop a high-performing team of network strategy and contracting professionals, including managers and directors, providing strategic guidance and operational support to regional and field-based team members • Foster strong collaboration across departments including Finance, Analytics, Operations, clinical leadership, Compliance, and growth teams • Lead outreach and complex negotiations with hospitals, health systems, large physician groups, and other strategic provider partners • Explore innovative contracting approaches tied to outcomes such as improved participant access, care coordination, medical record retrieval, quality performance, and operational responsiveness
Benefits
• $168,895.66—$232,231.53 USD • COVID-19 Vaccination Policy • At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations. • Our Commitment to Diversity, Equity and Inclusion
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