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WelbeHealth

Senior Director, Network Strategy

Posted 5 Days Ago
Be an Early Applicant
Remote
Hiring Remotely in CA, USA
169K-232K Annually
Senior level
Remote
Hiring Remotely in CA, USA
169K-232K Annually
Senior level
Leads enterprise provider network strategy and managed care contracting across existing and emerging markets. Responsibilities include assessing network adequacy, supporting market expansion, negotiating with hospitals and provider groups, developing value-based contracting approaches, monitoring regulatory and competitive trends, and managing a high-performing network strategy and contracting team. The role collaborates with Finance, Analytics, Operations, Compliance, clinical leadership, and growth teams to improve access, quality, and financial sustainability.
The summary above was generated by AI

Candidates MUST be located and residing in the State of California

WelbeHealth is a value-based healthcare organization that’s transforming the future of senior care by providing an all-inclusive care option to our most vulnerable senior population. We step in as the care provider and care planner that work to keep our participants within their communities, out of institutions, and cared for like family, all while receiving the healthcare and social services needed to thrive.

The Senior Director, Network Strategy will lead the development and execution of provider network strategy and contracting across WelbeHealth. The role combines strategic planning, operational leadership, and complex provider negotiations, with accountability for network adequacy, market expansion support, financial stewardship, and enterprise-wide collaboration. The Senior Director, Network Strategy will lead a team focused on network strategy and contracting, while partnering closely with Network Management, Operations, Finance, Analytics, Compliance, clinical leadership, and market teams. This role plays a key part in shaping how WelbeHealth builds provider relationships to support growth, participant access, and long-term value.

This role is different because the Senior Director, Network Strategy at WelbeHealth:

  • Combines strategic network leadership with hands-on provider contracting, providing the opportunity to shape how WelbeHealth builds, strengthens, and expands provider relationships while directly influencing network access, quality, and financial sustainability
  • Plays a critical role in WelbeHealth’s continued growth and market expansion, with a strong focus on California health system and provider relationships

We care about our team members. That’s why we offer:

  • Medical insurance coverage (Medical, Dental, Vision)
  • Work/life balance - We mean it! 17 days of personal time off (PTO), 12 holidays observed annually, and 6 sick days
  • 401K savings + match
  • Comprehensive compensation package including base pay and bonus
  • And additional benefits!

On the day-to-day, you will:

  • Develop and lead enterprise network strategies across existing and emerging markets, supporting market expansion efforts by designing strategies aligned to 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, as well as identify network gaps, access barriers, and market-specific needs, developing strategies to address them
  • Monitor industry trends, regulatory requirements, and competitive market conditions that may impact network development and strategy
  • Lead, mentor, and develop a high-performing team of network strategy and contracting professionals, including managers and directors, providing strategic guidance and operational support to regional and field-based team members
  • 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 include:

  • Bachelor’s degree required; advanced degree preferred
  • Minimum of ten (10) years of experience in provider network strategy and managed care contracting
  • Must have 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
  • Must have demonstrated success building provider networks across multiple markets or regions, with a focus on California
  • Must have experience within Medicare, Medicaid, managed care, PACE, or value-based care environments
  • Two (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

If you’re a strategic network leader who is energized by building strong provider partnerships, navigating complex negotiations, and shaping networks that expand access to high-quality care, we’d love to hear from you!

Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.

Compensation Offering
$168,895.66$232,231.53 USD

COVID-19 Vaccination Policy

At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.


Our Commitment to Diversity, Equity and Inclusion

At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.


Beware of Scams

Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to [email protected]

WelbeHealth San Jose, California, USA Office

1799 Hamilton Avenue, San Jose, United States, 95125

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