Vice President, Network Development Location: West Coast, USA (Pacific Northwest preferred; open to relocation). Remote-based. Occasional travel to the office. Position Type: Full-Time, W2, Senior Leadership Reports To: Chief Network Development Officer (CNDO) About the Organization A growing healthcare payer is seeking a Vice President, Network Development to build and manage provider networks, ensuring value-based partnerships and operational efficiency. The organization is focused on expanding Medicare Advantage and commercial networks across multiple regions, requiring a leader who can optimize contracting processes and drive provider engagement. Position Overview The Vice President, Network Development will play a pivotal role in building, optimizing, and managing provider networks to align with the Health Plan’s growth and operational efficiency objectives. Reporting to the Chief Network Development Officer (CNDO), this leader will oversee network adequacy, provider engagement, and contracting strategy while ensuring compliance requirements. This role is designed for a seasoned healthcare network executive with a strong operational and strategic mindset who can drive provider engagement, improve contract execution, and integrate new technologies to streamline processes. Key Responsibilities Network Growth & Market Expansion + Support network expansion efforts in Washington, Oregon, Southern California, Montana, and future markets for Medicare Advantage and self-insured products. + Identify and develop relationships with community-based providers in markets where the Health Plan does not own facilities, aligning with the organization’s provider-friendly approach. + Leverage wraparound networks and alternative provider contracting models to enhance network performance. + Assess and address market-specific challenges in expanding value-based and risk-sharing provider partnerships. Provider Contracting & Relationship Management + Lead contracting efforts for provider participation in expanding Medicare Advantage and commercial networks. + Ensure provider contracts align with value-based and risk-sharing models, supporting the Health Plan’s shift toward community-based provider engagement. + Implement strategies to streamline contract execution and reduce administrative burden for both internal teams and provider partners. + Foster strong provider relationships by ensuring collaborative, non-adversarial negotiations in line with the Health Plan’s cultural approach. + Work closely with compliance teams to ensure contracting aligns with state and federal regulatory requirements. Operational Efficiency & Technology Integration + Support provider data modernization efforts, ensuring accurate, real-time network adequacy tracking and streamlined contract management. + Work with IT and network teams to implement digital solutions for provider data management, contract automation, and process efficiency. + Optimize provider onboarding processes, improving time-to-contract execution and network readiness. + Leverage analytics to assess provider performance and financial impact, supporting data-driven decision-making for network expansion. Cross-Functional Collaboration & Leadership + Partner with the Chief Network Development Officer (CNDO) to translate strategic initiatives into operational execution. + Work cross-functionally with finance, technology, and compliance teams to align network development efforts with broader organizational objectives. + Lead and mentor the network development team, fostering a high-performance culture that aligns with the Health Plan’s mission and values. + Ensure that network operations are scalable and flexible to support long-term growth in the Health Plan’s key regions. Key Performance Indicators (KPIs) Success in this role will be measured by business impact and operational improvements, including: + Network Growth & Adequacy – Increase in provider participation across target expansion markets and improved time-to-market for new provider contracts. + Contract Execution Efficiency – Reduction in contract processing times and percentage of contracts executed via automated workflows. + Operational Cost Reduction – Achieving cost savings through streamlined contract administration and reducing provider onboarding time. + Provider Satisfaction & Engagement – Improvement in provider satisfaction scores and higher provider retention rates. + Technology & Data Utilization – Increased adoption of automated contract processing tools and enhanced accuracy 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+ years of progressive leadership experience in provider network development, managed care contracting, or healthcare operations. + Expertise in value-based care models, risk-based contracting, and Medicare Advantage network development. + Experience working with provider-sponsored health plans, commercial payers, or integrated delivery systems preferred. Why Join this Organization? + Opportunity to shape and scale a growing provider network in a mission-driven health plan. + Be a key leader in market expansion efforts, ensuring accessible, high-quality provider networks. + Work with cutting-edge technologies to modernize network development processes. + Competitive compensation & incentives package. Application Process Interested candidates should submit a resume and cover letter outlining their network development experience, contract execution expertise, and leadership impact in previous roles . Applications will be reviewed on a rolling basis until the position is filled.