Provider Network Strategy Specialist

🕒 Junho 24

⚔️ Virginia – Remoto

⚔️ Virginia – Remote

💵 $70.000 - $80.000 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

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Astrana Health

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

💼 Consultoria

📦 Logística

🏥 Saúde

Consulting • Logistics • Healthcare

A Astrana Health é uma empresa de saúde que opera clínicas focadas na comunidade e uma plataforma de tecnologia voltada para prestadores de serviços, coordenando cuidados em serviços primários, de urgência e multi-especializados. Ela apoia prestadores de serviços e comunidades locais ao simplificar o acesso aos cuidados, automatizar autorizações prévias e conectar pacientes com profissionais de saúde dentro da rede. A Astrana combina serviços clínicos com tecnologia desenvolvida por médicos para melhorar a experiência do paciente e os fluxos de trabalho dos prestadores.

Descrição

• The Provider Network Strategy Specialist is responsible for analyzing, developing, and executing network development strategies to support the growth and optimization of the organization’s Value-Based Care (VBC) provider network. • This role plays a key part in identifying network gaps, evaluating provider opportunities, and driving strategic recruitment initiatives aligned with organizational and market objectives. • Reporting to the Senior Director of Operations, this position exercises independent judgment and discretion in assessing network performance, prioritizing provider recruitment efforts, and recommending solutions that impact network adequacy, access, and value-based performance outcomes. • The Specialist serves as a strategic partner to internal stakeholders and external providers, balancing data-driven analysis, provider engagement, and operational execution to support sustainable network growth and alignment with regulatory and value-based care requirements.

🎯 Requisitos

• Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required • 3+ years of experience in provider network development, healthcare operations, managed care, or related field • Experience in provider relations, contracting, or network development preferred • Demonstrated experience analyzing data and making recommendations that impact business or operational outcomes • Valid driver’s license with ability to travel within the service area • Demonstrated ability to exercise independent judgment and discretion in evaluating provider opportunities and network needs • Strong analytical skills with the ability to interpret data and translate findings into actionable strategies • Understanding of provider network development, healthcare contracting, and value-based care models • Knowledge of CMS, Medicare, and Medicaid regulatory requirements • Ability to influence stakeholders and build relationships with providers and internal partners • Strong communication and presentation skills • Ability to manage multiple priorities and adapt in a fast-paced environment • Proficiency in Microsoft Office and data/reporting tools

🏖️ Benefícios

• This role operates in a remote, field-based environment with regular travel required to support provider engagement and network development activities. • The position includes a combination of independent fieldwork, virtual collaboration, and analytical responsibilities. • The role requires the ability to independently manage schedule, priorities, and provider interactions, balancing onsite engagement with strategic and analytical work. • Travel frequency may vary based on business needs and market priorities. • The Company reserves the right to modify the work arrangement, including transitioning to a hybrid or onsite model, based on business needs. • Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Responsibilities may change based on business needs and organizational priorities. • The total compensation target pay range for this role is: $70,000 to $80,000. 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 [email protected] 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.