This leadership position has broad accountability for provider contracting strategy, network development, and operational oversight across assigned functions. The incumbent translates organizational priorities into strategic and operational plans, establishes goals and resource priorities, and provides direction to achieve performance, service, and compliance objectives. The role requires the exercise of sound judgment, executive presence, and the ability to lead complex initiatives in a dynamic healthcare environment.
The position directs contract strategy, provider relationship management, and network performance activities to support access, affordability, quality, and regulatory compliance. Responsibilities include negotiating and interpreting complex contractual arrangements, monitoring performance against contractual and operational expectations, identifying risks and opportunities for improvement, and collaborating with internal and external stakeholders to strengthen provider alignment and service delivery.
The incumbent is expected to support continuous improvement through data-informed analysis, market assessment, and cross-functional planning. This position develops and maintains effective working relationships, promotes standardized processes and best practices, and advances strategies that strengthen provider alignment, operational effectiveness, and long-term network sustainability.
This position does not provide patient care
