Description

Calling All Esteemed Leaders

This role offers a unique opportunity to shape the future of value-based care by building high-performing provider networks and launching innovative healthcare products across the North Division. The Director Strategy and Network Development will play a pivotal role in advancing Providences transition to value-based care high-value networks and direct-to-employer solutions.

The Role

The Director Strategy and Network Development is responsible for evaluating developing and launching new and innovative healthcare products and network strategies across the North Division. This role partners closely with payer contracting to assess payer partnership opportunities evaluates healthcare delivery system partnerships and collaborates with Contracting and Community Care Alliance with Providence CCAP leadership to grow and geographically expand provider network vehicles.

The Director plays a significant role in achieving divisional strategic goals including value-based membership growth high-value and clinically integrated network development and direct-to-employer contracting efforts that drive top-line revenue. The role builds and manages internal and external relationships with providers employers and payers supports payer contracting in the development of risk-based agreements and engages stakeholders to create sustainable operationally viable solutions.

This position evaluates market dynamics across the Division partners in the development of value-based care membership goals and creates and executes strategic plans to achieve those goals. The role has a dual reporting structure with a solid-line report to the System Executive Director Product Development and a dotted-line report to the North Division Chief Strategy Officer. This position plays a critical role in advancing Providences goal to create high-performing networks and accelerate the transition to value-based care.

What Youll Do

Identify develop and implement new business opportunities product concepts and network expansion strategies that increase market share volume revenue and margin.

Partner in the growth and performance of Providences High Performing Network CCAP - Community Care Alliance with Providence.

Provide leadership and influence across a highly matrixed organization to successfully operationalize new products and initiatives.

Operationalize products and services delivered directly to employers across the North Division.

Partner with the Senior Director Large Group and Direct-to-Employer Strategy to execute comprehensive employer strategies.

Provide market insight to the Contracting team to support negotiations with payers partners new clients and network providers.

Translate complex product and network opportunities into clear actionable summaries for Medical Group and Hospital leadership.

Partner with Legal to ensure new products and network arrangements comply with applicable regulatory requirements.

Generate innovative concepts to grow alternative non-delivery-system revenue streams.

Evaluate and lead implementation of solutions that continuously advance the High Performing Network.

Identify and pursue opportunities to expand product growth into markets surrounding the existing Providence footprint.

Collaborate with external health systems to expand existing products and launch new market opportunities.

Conduct complex analyses supporting strategy and business development initiatives across the North Division.

Remove barriers to implementation by identifying process gaps coordinating analysis and developing solutions.

Facilitate strategic value efforts across the Division to align partners resources performance monitoring and outcomes.

Lead cross-departmental initiatives to align resources and drive successful partnerships.

Develop standard metrics of success and promote best-practice adoption.

Partner with Payor Contracting Strategy Population Health and Operations across ambulatory and acute settings.

Effectively engage physicians and PCN leadership to support network and product success.

What Youll Bring

Education

Bachelors degree in Business Healthcare Administration Marketing Engineering Clinical Science or a related field.

Masters degree in Healthcare Administration Business or a similar field preferred.

Certification Other Requirements

Six Sigma Lean certification preferred.

Driving may be required caregivers must comply with applicable state driving requirements and provide proof of license and insurance upon request.

Experience

Ten 10 or more years of experience in health insurance health systems or a consulting firm.

Five 5 or more years of executive-level leadership experience or comparable responsibility.

Demonstrated experience in healthcare operations with a record of successfully implementing initiatives that achieve measurable results.

Proven success developing and executing business plans that increase market share and meet organizational objectives.

Experience negotiating contracts and establishing risk-based and value-based agreements with payers and providers.

Experience operating in regulated environments and communicating with regulatory agencies e.g. Department of Insurance.

Experience in entrepreneurial or start-up environments preferred.

Experience working within integrated health systems preferred.

Knowledge and Capabilities

Strong knowledge of healthcare operations across the continuum of care health insurance population health management and accountable care organizations.

Ability to assess physician employment models incentives alignment strategies and clinical program integration.

Superior analytical and quantitative skills with the ability to extract insights from complex data.

Demonstrated ability to drive multiple large-scale initiatives across a highly matrixed organization.

Strong strategic agility planning project management and execution skills.

Excellent communication facilitation and presentation skills.

Strong customer focus collaboration skills and ability to build effective relationships with executives physicians and partners.

Demonstrated understanding of the Washington healthcare market including providers and consumers.

Strong knowledge of managed care contracting and healthcare insurance regulations including DMHC and DOI requirements.

Personal values aligned with Providences mission and values.

Ability to travel across Providence locations.

Why Join Us

Shape Value - Based Care at Scale Lead the development of high-performing networks and innovative products that accelerate Providences transition to value-based care.

Enterprise and Market Influence Work closely with system divisional payer provider and employer leaders to shape strategy and market growth.

Complex High - Impact Work Tackle sophisticated network contracting and product challenges across a large integrated health system.

Build for the Future Create sustainable partnerships scalable products and growth strategies that strengthen long-term performance and access.

Ready to Shape the Future of Healthcare

If you are a strategic healthcare leader with deep experience in network development payer partnerships and value-based care-and the drive to lead complex initiatives at scale-we invite you to apply. Join Providence in building high-performing networks that improve outcomes and create lasting value.

About Providence

At Providence our strength lies in Our Promise of Know me care for me ease my way." Working at our family of organizations means that regardless of your role well walk alongside you in your career supporting you so you can support others. We provide best-in-class benefits and we foster an inclusive workplace where diversity is valued and everyone is essential heard and respected. Together our 120000 caregivers all employees serve in over 50 hospitals over 1000 clinics and a full range of health and social services across Alaska California Montana New Mexico Oregon Texas and Washington. As a comprehensive health care organization we are serving more people advancing best practices and continuing our more than 100-year tradition of serving the poor and vulnerable.

Posted are the minimum and the maximum wage rates on the wage range for this position. The successful candidates placement on the wage range for this position will be determined based upon relevant job experience and other applicable factors. These amounts are the base pay range additional compensation may be available for this role such as shift differentials standbyon-call overtime premiums extra shift incentives or bonus opportunities.

Providence offers a comprehensive benefits package including a retirement 401k Savings Plan with employer matching health care benefits medical dental vision life insurance disability insurance time off benefits paid parental leave vacations holidays health issues voluntary benefits well-being resources and much more. Learn more at providence.jobsbenefits.

Applicants in the Unincorporated County of Los Angeles Qualified applications with arrest or conviction records will be considered for employment in accordance with the Unincorporated Los Angeles County Fair Chance Ordinance for Employers and the California Fair Chance Act.

Requsition ID 421083

Company Providence Jobs

Job Category Strategy & Planning

Job Function Administration

Job Schedule Full time

Job Shift Day

Career Track Leadership

Department 4007 SS NORTH DIV STRAT ADMIN

Address WA Seattle 1730 Minor Ave

Work Location Swedish Metropolitan Park East-Seattle

Workplace Type On-site

Pay Range 85.88 - 137.30

The amounts listed are the base pay range additional compensation may be available for this role such as shift differentials standbyon-call overtime premiums extra shift incentives or bonus opportunities.