Provider Network Strategy Specialist

Astrana Health, Inc.

Virginia, Virginia

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JOB DETAILS

SALARY

$70,000–$80,000 Per Year

SKILLS

Analysis Skills, Business Development, Business Operations, Business Strategy, Capacity Strategy, Centers for Medicare and Medicaid Services (CMS), Channel Strategies, Communication Skills, Contract Management, Cross-Functional, Data Analysis, Data Quality, Database Report Tools, Documentation, Driver's License, Environmental Work, Establish Priorities, Finance, Healthcare Administration, Healthcare Providers, Identify Issues, Leadership, Managed Care, Medicaid, Medicare, Microsoft Office, Multitasking, Negotiation Skills, Network Administration/Management, Network Monitoring, Network Performance/Analysis, Network Support, Onboarding, Operational Improvement, Operational Strategy, Operational Support, Presentation/Verbal Skills, Problem Solving Skills, Provider Contracting, Provider Relations, Recruiting Strategy, Regulations, Regulatory Requirements, Risk Analysis, Sales Prospecting, Sales Qualification, Schedule Development, Strategic Analysis, Strategic Planning, Time Management, Trend Analysis, Willing to Travel

LOCATION

Virginia, Virginia

POSTED

4 days ago

Description

The Provider Network Strategy Specialist is responsible for analyzing, developing, and executing network development strategies to support the growth and optimization of the organization’s Value-Based Care (VBC) provider network. This role plays a key part in identifying network gaps, evaluating provider opportunities, and driving strategic recruitment initiatives aligned with organizational and market objectives. Reporting to the Senior Director of Operations, this position exercises independent judgment and discretion in assessing network performance, prioritizing provider recruitment efforts, and recommending solutions that impact network adequacy, access, and value-based performance outcomes. The Specialist serves as a strategic partner to internal stakeholders and external providers, balancing data-driven analysis, provider engagement, and operational execution to support sustainable network growth and alignment with regulatory and value-based care requirements.

What You'll Do

Network Strategy & Development
- Analyze network composition, performance, and market dynamics to identify gaps, risks, and strategic growth opportunities
- Develop and execute targeted provider recruitment strategies aligned with value-based care goals and organizational priorities
- Evaluate prospective providers and organizations using defined and judgment-based criteria, including quality performance, capacity, and strategic alignment
- Exercise discretion in prioritizing recruitment efforts and managing a portfolio of provider opportunities based on business impact
Contracting & Strategic Coordination
- Lead coordination of provider contracting activities, ensuring alignment with network strategy and organizational objectives
- Review and assess provider agreements and documentation for alignment with business, operational, and regulatory standards
- Support negotiation discussions by identifying key issues, risks, and considerations, and recommending appropriate approaches
- Partner with internal stakeholders to facilitate timely execution and implementation of provider agreements
Provider Engagement & Market Influence
- Serve as a primary point of contact for prospective providers, guiding them through recruitment and onboarding processes
- Conduct in-person and virtual meetings with physicians, provider groups, and healthcare organizations to present network opportunities and influence participation decisions
- Identify and recommend improvements to provider engagement strategies and onboarding experiences
- Build and maintain relationships with key provider stakeholders to support long-term network development
Cross-Functional Collaboration
- Act as a liaison between Value-Based Care, Business Development, Operations, Credentialing, and other internal teams
- Provide insights and recommendations to leadership to inform network development strategies and operational improvements
- Collaborate with leadership to align network activities with broader market and organizational goals
Data Analysis & Reporting
- Analyze provider pipeline, recruitment progress, and network performance data to inform strategic decision-making
- Maintain oversight of network development tracking tools and ensure data integrity for reporting purposes
- Prepare and present summaries, insights, and recommendations to leadership regarding network growth and performance
- Identify trends and opportunities to improve network development strategies and operational efficiency

Qualifications

Bachelor’s degree in Healthcare Administration, Business, Finance, or related field required
3–5 years of experience in provider network development, healthcare operations, managed care, or related field
Experience in provider relations, contracting, or network development preferred
Demonstrated experience analyzing data and making recommendations that impact business or operational outcomes
Valid driver’s license with ability to travel within the service area
Demonstrated ability to exercise independent judgment and discretion in evaluating provider opportunities and network needs
Strong analytical skills with the ability to interpret data and translate findings into actionable strategies
Understanding of provider network development, healthcare contracting, and value-based care models
Knowledge of CMS, Medicare, and Medicaid regulatory requirements
Ability to influence stakeholders and build relationships with providers and internal partners
Strong communication and presentation skills
Ability to manage multiple priorities and adapt in a fast-paced environment
Proficiency in Microsoft Office and data/reporting tools

Environmental Job Requirements and Working Conditions

This role operates in a remote, field-based environment with regular travel required to support provider engagement and network development activities. The position includes a combination of independent fieldwork, virtual collaboration, and analytical responsibilities. The role requires the ability to independently manage schedule, priorities, and provider interactions, balancing onsite engagement with strategic and analytical work. Travel frequency may vary based on business needs and market priorities. The Company reserves the right to modify the work arrangement, including transitioning to a hybrid or onsite model, based on business needs. Disclaimer This job description is intended to describe the general nature and level of work performed. It is not intended to be an exhaustive list of all responsibilities, duties, or qualifications required. Responsibilities may change based on business needs and organizational priorities.
The total compensation target pay range for this role is: $70,000 to $80,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

About the Company

Astrana Health, Inc.

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