Head of Provider Network Development

Responsibilities:

Architect and complete targeted network expansion strategies, leading end-to-end recruitment plans for non-anchor practitioners, medical groups, and ECPs/FQHCs to meet geographic growth and access goals.
Monitor regional provider density and access metrics to prioritize and close any gaps to exceed state, federal (CMS) and product-level adequacy and accessibility standards.
Partner with Network Contracting, Network Strategy, and Market Leadership to align provider recruitment targets with regulatory needs and broader commercial, ACA, or Medicare growth plans.
Track and lead recruitment pipeline velocity and team productivity.
Use network design analytics to monitor recruitment pipeline throughput, and address regulatory coverage gaps to improve the Provider Network.
Build, mentor, and lead a high-performing team of network development professionals, sometimes including both employees and contractors, promoting a culture of accountability, operational thoughtfulness, and continuous improvement.

Requirements:

Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or a related field
12+ years of experience in healthcare industry
5+ years of progressive leadership experience in provider network development, network operations, or provider recruitment within a health plan, MSO, or health system.
Experience engaging and contracting with community health centers, FQHCs, and independent provider groups.
Demonstrated understanding of CMS and state-level network adequacy requirements and access-to-care standards.
Experience managing multi-departmental workflows across contracting, legal, operations, and market leadership teams.
Experience using network management platforms (e.g., Quest Analytics) and CRM tools to drive recruitment strategy.

Bonus points:

Master's degree (Master of Health Administration, Master of Public Health, or Master of Business Administration)