Senior Director, Network Strategy

Job not on LinkedIn

🔥 10 hours ago

🏄 California – Remote

🏄 California – Remote

💵 $168.9k - $232.2k / year

⏰ Full Time

🟠 Senior

👔 Director

🦅 H1B Visa Sponsor

This company has sponsored H1B visas in the past.

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WelbeHealth

WebsiteLinkedInAll Job Openings

501 - 1000 employees

🏥 Healthcare

⚕️ Healthcare Insurance

💰 $30M Series C on 2020-02

Healthcare • Healthcare Insurance

WelbeHealth is a healthcare organization that provides comprehensive medical care and personalized support to help seniors age well at home and in their communities. They offer a Program of All-Inclusive Care for the Elderly (PACE) which includes services such as medical care and coordination, dental, vision and hearing services, in-home care, prescription deliveries, transportation, physical therapy, meals, social activities, and more, often at no cost to eligible seniors. WelbeHealth's dedicated team prioritizes the needs of seniors by offering a coordinated approach to healthcare, ensuring access to highly skilled professionals across various areas of healthcare, and emphasizing patient-centered care. Their goal is to improve the quality of life for seniors by enabling them to live independently with robust support from a multidisciplinary team.

📋 Description

• Develop and lead enterprise network strategies across existing and emerging markets • Support market expansion efforts by designing strategies aligned to growth plans and local market dynamics • Assess and monitor network adequacy and ensure timely access to high-quality providers, specialists, hospitals, and ancillary services • Identify network gaps, access barriers, and market-specific needs and develop strategies to address them • Monitor industry trends, regulatory requirements, and competitive market conditions • Lead, mentor, and develop a high-performing team of network strategy and contracting professionals • Provide strategic guidance and operational support to regional and field-based team members • Foster collaboration across Finance, Analytics, Operations, clinical leadership, Compliance, and growth teams • Lead outreach and complex negotiations with hospitals, health systems, large physician groups, and strategic provider partners • Explore innovative contracting approaches tied to participant access, care coordination, medical record retrieval, quality performance, and operational responsiveness

🎯 Requirements

• Candidates MUST be located and residing in the State of California • Bachelor’s degree required; advanced degree preferred • Minimum of ten (10) years of experience in provider network strategy and managed care contracting • 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 • Demonstrated success building provider networks across multiple markets or regions, with a focus on California • 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 • Proof of vaccination, or a vaccine declination form, required prior to employment

🏖️ Benefits

• Medical insurance coverage (Medical, Dental, Vision) • 17 days of personal time off (PTO) • 12 holidays observed annually • 6 sick days • 401K savings + match • Comprehensive compensation package including base pay and bonus • Additional benefits • COVID-19 vaccination policy and infection control/PPE standards