Regional Director of Network Development Location: West Coast, USA (Pacific Northwest preferred; open to relocation). Remote based, occasional travel to office site required. Position Type: Full-Time, W2, Leadership Level Reports To: Vice President of Network Development About the Organization: The Health Plan is a leading healthcare payer on the West Coast, with expanding operations in Washington, Southern California, and future growth opportunities. Serving over 500,000 members, the Health Plan prioritizes a provider-friendly approach to contracting and value-based care. The Health Plan is currently modernizing provider network operations through new technologies and strategic growth initiatives. Position Overview: The Regional Director of Network Development will play a critical role in executing network expansion strategies, managing provider relationships, and optimizing contracting processes to support the Health Plan's growth and operational efficiency. Reporting to the Vice President of Network Development, this leader will be responsible for tactical execution and operational excellence in network development, ensuring provider engagement aligns with the Health Plan 's strategic priorities. This role is ideal for a execution-driven leader with a deep operational background in network development who thrives in a fast-paced environment, can improve efficiency in provider contract administration, and can implement scalable solutions to support growth initiatives. Key Responsibilities P rovider Network Development & Expansion + Execute network expansion initiatives in key growth markets, including Washington, Oregon, Southern California, Montana , and future Medicare Advantage and Self-Funded product markets. + Support contracting efforts by identifying and onboarding high-value provider partnerships to enhance network adequacy. + Assist in developing wraparound networks to supplement the Health Plan 's existing provider footprint. + Ensure network adequacy compliance with regulatory and business requirements. Contract Execution & Operational Efficiency + Lead contract negotiations for provider participation, ensuring financial sustainability and alignment with value-based care initiatives. + Improve contract management workflows to reduce turnaround times and administrative inefficiencies. + Ensure seamless provider onboarding through improved contract structuring and automated processes. + Optimize processes for monitoring network performance using data-driven insights. + Cultivate and maintain positive, provider-friendly relationships, ensuring alignment with the Health Plan's culture of collaboration and mutual respect. Technology Integration & Data Management + Support the adoption of new provider data management technologies + Drive automation initiatives in contract execution and provider relations. + Leverage data analytics to track network performance and recommend improvements. Leadership & Cross-Functional Collaboration + Partner with the Chief Network Development Officer and Vice President of Network Development to align tactical execution with strategic vision. + Collaborate with finance, compliance, and IT teams to improve provider contracting processes. + Manage and mentor network development staff, ensuring executional excellence in provider relations. Success Metrics (KPIs) Success in this role will be measured by business impact and operational efficiency, using the following key metrics: + Network Growth & Adequacy: Increase in provider participation in expansion markets. + Contract Execution Efficiency: Reduction in contract processing times. Increased number of contracts executed via automated workflows. + Operational Cost Reduction: Savings achieved through streamlined contract administration. Reduction in provider onboarding time. + Provider Satisfaction & Engagement: Increased provider satisfaction scores. Increased Provider retention rates year-over-year. + Technology Adoption & Data-Driven Decision Making: Full adoption of automated contract processing tools. High accuracy and completeness of provider data. Candidate Profile & Required Qualifications Education & Experience + Bachelor's degree required; Master's degree preferred in Healthcare Administration, Business, or related field. + 10-15 years of experience in network development, provider contracting, or healthcare operations. + Experience in employer-sponsored health plans strongly preferred. Why Join this Organization? + Be part of an industry-leading health plan known for provider-friendly collaboration. + Drive meaningful impact by shaping network development strategies that improve patient access and provider engagement. + Lead in an organization that is embracing new technologies and investing in automation, provider data management, and operational excellence. + Competitive compensation & incentives package. Application Process: Interested candidates should submit a resume and cover letter outlining their relevant experience and leadership impact in previous roles. Applications will be reviewed on a rolling basis until the position is filled.