Senior Director, Network Strategy

WelbeHealth is a value-based healthcare organization transforming the future of senior care by providing an all-inclusive care option for vulnerable seniors. They act as both care provider and care planner, ensuring participants remain in their communities with healthcare and social services tailored to their needs.

Core Responsibilities:

• Lead the development and execution of provider network strategy and contracting across WelbeHealth.
• Combine strategic planning, operational leadership, and complex provider negotiations to ensure network adequacy, market expansion, financial stewardship, and enterprise-wide collaboration.
• Shape provider relationships to support growth, participant access, and long-term value.

Key Differentiators:

• Combines strategic network leadership with hands-on provider contracting, shaping provider relationships to influence network access, quality, and financial sustainability.
• Critical role in WelbeHealth’s growth and market expansion, focusing on California health systems and provider relationships.

Benefits:

• Medical insurance coverage (Medical, Dental, Vision)
• Work/life balance with 17 days of PTO, 12 holidays observed annually, and 6 sick days
• 401K savings + match
• Comprehensive compensation package including base pay and bonus
• Additional benefits

Daily Responsibilities:

• Develop and lead enterprise network strategies across existing and emerging markets, aligning with growth plans and local market dynamics.
• Assess and monitor network adequacy to ensure participants have timely access to high-quality providers, specialists, hospitals, and ancillary services. Identify network gaps, access barriers, and market-specific needs, developing strategies to address them.
• Monitor industry trends, regulatory requirements, and competitive market conditions impacting network development and strategy.
• Lead, mentor, and develop a high-performing team of network strategy and contracting professionals, providing strategic guidance and operational support.
• Foster strong collaboration across departments including Finance, Analytics, Operations, clinical leadership, Compliance, and growth teams.
• Lead outreach and complex negotiations with hospitals, health systems, large physician groups, and other strategic provider partners.
• Explore innovative contracting approaches tied to outcomes such as improved participant access, care coordination, medical record retrieval, quality performance, and operational responsiveness.

Job Requirements:

• A Bachelor’s degree required; advanced degree preferred.
• Minimum of 10 years of experience in provider network strategy and managed care contracting.
• Experience leading negotiations with hospitals, health systems, and large provider organizations.
• Knowledge of network adequacy standards, provider operations, reimbursement methodologies, and value-based care models.
• Demonstrated success in building provider networks across multiple markets or regions, with a focus on California.
• Experience within Medicare, Medicaid, managed care, PACE, or value-based care environments.
• 2 years of supervisory experience with demonstrated ability to mentor and develop team members.
• Strong leadership experience managing high-performing teams in a matrixed organization.