Vice President, Direct Network Strategy jobs in United States
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Alignment Health · 1 day ago

Vice President, Direct Network Strategy

Alignment Health is dedicated to transforming healthcare for seniors and those with chronic conditions. The Vice President of Direct Network Strategy will develop and implement strategies for a comprehensive provider network, focusing on growth, quality, and member experience, particularly in California.

Health CareHospitalMedicalMedical DeviceWellness
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H1B Sponsor Likelynote

Responsibilities

Develop and Execute Network Strategy - Lead the overarching strategy to expand and optimize a high-performing Direct Provider Network to drive market growth and stability, with a focus in California
Drive Network Expansion – Accelerate the growth of the Direct Network across existing and emerging markets, ensuring geographic adequacy, clinical integration, and competitive positioning
Lead Contracting Strategy and Financial Performance - Implement diverse contracting methodologies, including shared savings and value-based programs, that incentivize quality, performance, and long-term provider partnerships. Manage the financial planning related to network costs and provider contracts, ensuring alignment with organizational goals
Strategic Leadership for Direct Network Recruitment - Lead and manage all aspects of Direct Network development, including executing market-specific strategies to identify, recruit, and contract with high-quality PCPs and specialists, as well as oversee onboarding and ongoing education to ensure effective integration and alignment
Procure Market Intelligence - Monitor industry trends, market dynamics, and regulatory changes to identify opportunities for Direct Network development, expansion and optimization
Enhance Provider Engagement – Foster deep and sustained engagement with the Direct Network providers through continuous relationship management and performance monitoring to build collaborative partnerships that drive growth
Build and Lead High-Performing Teams - Hire, mentor, and manage a team of network management and contracting professionals to support all Direct Network initiatives
Establish and Monitor Performance Metrics - Define and track key performance indicators (KPIs) and OKRs related to Direct Network recruitment, network adequacy, cost, quality, utilization, and provider engagement. Implement performance improvement plans, where needed, to support course correction to achieve targeted goals
Ensure Regulatory Compliance - Maintain compliance with federal, state, and contractual requirements, including network adequacy, access standards, and credentialing
Foster Cross-Functional Collaboration - Partner with regional GMs, Finance, Clinical, and Operations teams to align network strategies with broader market and organizational goals

Qualification

Healthcare network strategyValue-based provider contractingMedicare Advantage experiencePrimary care transformationMulti-market network developmentRelationship managementData analysisLeadership skillsNegotiation skillsProject managementCommunication skillsPresentation skills

Required

10+ years of progressive leadership with experience in healthcare network strategy, value based provider contracting and Medicare Advantage
Familiarity with supporting primary care transformation and risk-bearing provider entities
Multi-market network development experience
Requires a Bachelor's degree in Public Health, Healthcare Administration, Business, or related field
Strong knowledge of primary care dynamics, value-based care principles, and the role of PCPs in population health management
Proven track record of building and contracting with diverse provider networks, including engaging primary care providers and specialists across diverse markets and delivery systems
Experience with designing and implementing value-based care programs focused on quality, patient experience, and total cost of care
Exceptional leadership, negotiation, and relationship management skills
Demonstrated ability to work cross-functionally and lead in a matrixed environment
Strong data analysis, project management, and communication skills
Experience working in or with health plans, provider organizations, or quality-focused healthcare settings in the Medicare Advantage space
Excellent oral, written and presentation skills

Preferred

Master's degree strongly preferred

Company

Alignment Health

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Alignment Health provides eldercare services.

H1B Sponsorship

Alignment Health has a track record of offering H1B sponsorships. Please note that this does not guarantee sponsorship for this specific role. Below presents additional info for your reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (3)
2024 (12)
2023 (17)
2022 (13)
2021 (11)
2020 (6)

Funding

Current Stage
Public Company
Total Funding
$696.05M
Key Investors
K2 HealthVenturesWarburg PincusGeneral Atlantic
2024-11-15Post Ipo Debt· $321.05M
2024-01-09Private Equity
2021-03-26IPO

Leadership Team

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Dawn Maroney
President, Markets & CEO of Alignment Health Plan
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John Kao
CEO and Founder
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Company data provided by crunchbase