Senior Director/VP – Market Leader

Astrana Health

Network Leader overseeing provider network operations across San Diego and Orange County at Astrana Health. Leading large-scale initiatives and ensuring quality service to members and providers.

Posted 6/2/2026full-timeOrange • California • 🇺🇸 United StatesSenior💰 $175,000 - $230,000 per yearWebsite

About the role

Key responsibilities & impact

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

Requirements

What you’ll need

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.
Strongly Preferred
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

Benefits

Comp & perks

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.

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills & Tools

provider network managementmanaged care contractingvalue-based carecontract negotiationperformance metrics analysisstrategic planningfinancial performance managementhealthcare compliancedata analysisKPI oversight

Soft Skills

leadershipstrategic thinkingexecutive communicationrelationship buildinganalytical skillsteam developmentcoachingoperational acumennegotiationcollaboration

Certifications

Bachelor’s degreeMaster’s degree (MBA, MHA, MPH)