VP, Network Management - Texas, Central, West MarketsActive$240K–$315K
The opportunity
Hi, we're Oscar. We're hiring a VP, Network Management to join our Network Team.
What you'll do
Lead the execution of short: and long-term strategic plans for provider network growth, alignment, and optimization.
Develop a strategy to enhance network adequacy, access, and member experience across multiple markets.
Oversee execution of provider contracting strategy, including value-based and: fee-for-service contracting models, to improve care quality and control costs.
Build and maintain strong relationships with key health system leaders,: hospital executives, and other network providers.
Negotiate and manage high-value, complex contracts to support cost containment and quality initiatives.
Monitor and analyze network performance metrics, including cost, utilization,: quality, and member satisfaction.
What they're looking for
- Execute initiatives to enhance provider network performance, drive: efficiencies, and improve member access to care.
- Ensure that the provider network meets all state, federal, and accreditation: standards for access, adequacy, and service.
- Stay abreast of regulatory changes and industry best practices to ensure compliance and minimize risk.
- Work with compliance and legal teams to address and mitigate risks related to: provider contracting and network performance.
