Director, Corporate Systems
CoreLogic
Network Director
Habitat Health
full-time
Posted on:
Origin: • 🇺🇸 United States • California
Visit company websiteSalary
💰 $148,000 - $166,000 per year
Job Level
Lead
About the role
- Design and lead Habitat Health’s provider network strategy from conception through ongoing management, ensuring compliance with PACE, Medicare, and Medicaid regulatory requirements.
- Lead the contracting function, including template design, negotiation strategy, and execution for physicians, hospitals, ancillary providers, and community-based partners.
- Hire, inspire, and manage a growing team focused on provider contracting, credentialing, directory management, and performance oversight.
- Establish and enforce network governance standards, SLAs, and provider performance scorecards to ensure quality, access, and cost-effectiveness.
- Partner closely with PACE Center Leadership, Office of the CMO, Population Health, Finance, Strategy, Growth, and Health Plan Operations to define network priorities and close gaps.
- Develop and oversee value-based and performance-linked contracting models to improve quality and participant outcomes.
- Implement provider engagement strategies, including training, forums, and ongoing relationship management to ensure alignment with our mission and care model.
- Monitor the evolving healthcare landscape, regulatory changes, and market dynamics to identify opportunities for network expansion, innovation, and competitive differentiation.
- Analyze network adequacy data, provider performance metrics, and market trends and present strategic recommendations to leadership.
Requirements
- Aligns with our purpose and values and is excited about living those out in daily practice.
- Ability to lead with influence across PACE Center Leadership, Office of the CMO, Population Health, Practice Operations, Finance, Strategy, Growth, and Health Plan Operations.
- 5+ years of experience in a senior network management or provider contracting leadership role in a health plan or integrated delivery system.
- 8+ years of hands-on experience in network contracting, provider relations, or health plan operations.
- Deep knowledge of Medicare Advantage and / or Medicaid network adequacy requirements and contracting practices.
- Strong negotiation skills with a track record of building high-performing, collaborative provider relationships.
- Experience with monitoring provider data management systems, network analytics, and adequacy tools.
- Comfortable navigating complex, multi-stakeholder environments and explaining contracting, regulatory, and performance concepts in clear, accessible terms.
- Energized by ambiguity and a self-starter—able to drive the direction of complex, evolving projects.
- Prior experience in PACE (nice to have).
- For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe as an essential requirement of this role.
