VP - Network Management, SD/OC

What You'll Do

• Lead the development and execution of network strategy for the SD and OC markets, ensuring alignment with Astrana Health’s business goals and growth priorities
• Identify market expansion opportunities, evaluate competitive landscape, and recommend strategies for provider exclusivity, acquisition, retention, and optimization
• Serve as the primary executive representative for all regional provider network operations

• Build and maintain strong, collaborative relationships with physicians, medical groups, ambulatory clinics, health systems, hospitals, and other network partners
• Oversee onboarding, integration, and ongoing support for contracted providers to ensure positive engagement and satisfaction
• Lead provider performance discussions, including quality metrics, utilization trends, and financial performance

• Direct contracting strategic efforts, in coordination with Provider Contracting, across SD and OC, including negotiating rates, value-based arrangements, capitation agreements, and strategic partnerships
• Contribute to Payor Contracting initiatives and negotiations with market information and Network Management insights and data
• Ensure compliance with regulatory requirements, health plan standards, and contractual obligations

• Partner with MSO leadership, claims, UM, CM, Risk/Quality, analytics, and finance teams to drive operational excellence across assigned markets
• Analyze network performance, identify gaps, and implement corrective action plans to improve quality, utilization, access, and financial outcomes
• Impact profitability and market position by managing the following: strategic membership growth initiatives, medical loss ratio, performance program compliance (HEDIS, P4V, STARS), clinical care program participation, encounter data submissions, provider satisfaction, provider contract strategy and physician rewards
• Oversee  dashboards, KPIs, and reports to provide clear visibility into network health

• Lead and mentor regional network teams, supporting network managers, provider relations, contracting, and operational alignment
• Collaborate closely with senior leadership, market presidents, and clinical executives to ensure a unified strategy across Southern California markets
• Represent Astrana Health in market-level committees, health plan meetings, and industry events as needed

Qualifications

• Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or related field required
• Minimum 7+ years (Sr Director) or 10+ years (VP) progressive leadership experience in provider network management, managed care contracting, IPA/MSO operations, or value-based care
• Deep understanding of Southern California healthcare markets, including provider networks, IPA operations, and health plan partnerships
• Demonstrated success negotiating complex provider contracts, including risk-based arrangements
• Strong analytic and strategic planning skills with proven ability to drive performance outcomes

• Master’s degree (MBA, MHA, MPH)
• Experience working in capitated environments, delegated IPA/MSO structures, or full-risk Medicare Advantage models
• Established relationships with physicians, medical groups, and health plans in the SD/OC markets
• Experience managing multi-site teams and leading large-scale organizational initiatives
• Strategic thinking and market insight
• Executive communication and relationship building
• Advanced negotiation and contract strategy
• Operational and financial acumen
• Leadership, coaching, and team development
• Ability to thrive in a fast-paced, evolving environment

Environmental Job Requirements and Working Conditions

• This position will require weekly travel anywhere between Los Angeles and San Diego. 
• The total compensation target pay range for this role is: $175,000 to $230,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.