Location : West Coast, USA (Pacific Northwest preferred; open to relocation). Remote-based. Occasional travel to the office.
Reports to : Chief Executive Officer (CEO)
About the Organization :
A West Coast based, leading regional health plan, is seeking a Chief Network Development Officer (CNDO) to lead provider network expansion, contracting, and operational transformation. The organization is focused on Medicare Advantage, value-based care, and self-insured markets, with plans to expand its footprint across multiple states, including key West Coast regions.
Position Overview :
The Chief Network Development Officer (CNDO) will lead the strategic development and management of the Health Plan's provider networks. This executive role requires a visionary leader with deep expertise in network development, value-based contracting, and provider relations. The CNDO will drive initiatives to expand the network, enhance provider partnerships, and implement innovative solutions to improve healthcare delivery and outcomes.
Key Responsibilities :
- Strategic Network Development : Design and execute comprehensive strategies to expand and optimize provider networks across existing and new markets and products, including in Washington, Oregon, Southern California, Montana, and future expansions.
- Value-Based Contracting : Lead the development and negotiation of value-based and risk-sharing contracts, fostering collaborative relationships with providers to improve care quality and cost efficiency.
- Provider Relations : Cultivate and maintain positive, provider-friendly relationships, ensuring alignment with the Health Plan's culture of collaboration and mutual respect.
- Operational Efficiency : Streamline network operations to reduce administrative burdens, enhance provider data management, and improve contract management processes.
- Technology Integration : Embrace and implement new technologies to modernize network operations, including provider data management systems and contract automation tools.
- Leadership and Collaboration : Provide visionary leadership to the network development team, fostering a culture of innovation and excellence. Collaborate with cross-functional teams, including finance, compliance, and technology, to achieve organizational goals.
- Market Expansion : Identify and pursue opportunities for market expansion, particularly in Medicare Advantage and self-insured markets, aligning network strategies with business growth objectives.
Qualifications :
- Education : Bachelor's degree in healthcare administration, business, or a related field; Master's degree preferred.
- Experience : Minimum of 10 years of progressive leadership experience in network development within a provider-sponsored health plan or similar healthcare organization.
- Expertise : Demonstrated success in developing and managing provider networks, negotiating value-based contracts, and leading market expansion initiatives.
- Skills : Strong strategic thinking, leadership, and communication skills. Proficiency in leveraging technology to enhance network operations and provider engagement.
- Location : West Coast-based preferred, with a slight preference for the Pacific Northwest (WA, OR). Open to candidates willing to relocate; existing local provider relationships are valuable.
Key Performance Indicators (KPIs) :
- Network Growth : Expansion of provider networks in target markets.
- Contract Efficiency : Reduction in time-to-contract execution and administrative processes.
- Provider Satisfaction : High levels of provider engagement and positive feedback.
- Cost Management : Achievement of cost savings through effective contracting and network optimization.
- Technology Adoption : Successful implementation of new technologies to improve network operations.
Why Join this Organization?
- Be part of an industry-leading health plan known for provider-friendly collaboration.
- Drive meaningful impact by shaping network development strategies that improve patient access and provider engagement.
- Lead in an organization that is embracing new technologies and investing in automation, provider data management, and operational excellence.
Application Process :
Interested candidates are invited to submit a resume and cover letter detailing their qualifications and experience, and leadership impact in previous roles. Applications will be reviewed on a rolling basis until the position is filled.