Director, Network Development

Delta Dental of California; Albuquerque (NM); On-site; USD 107,000 - 233,000; Full time

Benefits offered by this job

Competitive base pay

401(k) with matching contributions

Medical and dental benefits

Vision benefits

Wellbeing program

Job summary

Delta Dental of California is seeking a Director of Network Development to coordinate and lead network growth and contracting across the Western region. The role focuses on strategic partnerships, cost-efficient discounts, and quality access to care for a broad member base.

The position requires extensive experience in managed care, strong negotiation and leadership abilities, and a track record of building provider networks across large geographies.

Qualifications

• Bachelor's degree required with 12+ years in network development or managed care.
• 3+ years of management experience.
• Proven track record negotiating major provider contracts.
• Strong analytical, negotiation, and strategic thinking skills.
• Experience building provider networks across large geographies.
• In-depth knowledge of managed care and healthcare business.
• Experience with value-based contracting and with commercial/government programs is preferred.
• Strong leadership to manage division activities enterprise-wide.
• Excellent organizational and project management abilities.
• Detail-oriented problem-solving capabilities.

Responsibilities

• Grows and retains business through competitive network access and quality.
• Develops partnerships to ensure market-leading discounts and offerings.
• Leads initiatives guiding network development activities.
• Oversees provider contracting for efficiency and compliance.
• Develops and executes a regional network development plan and oversees a team.
• Evaluates provider performance and contract financials.
• Supports Sales teams to win business and grow membership.
• Oversees provider negotiations aligned with guidelines and targets.
• Leads enterprise initiatives around network management.

Skills

Negotiation

Contract management

Analytical skills

Strategic thinking

Leadership

Team management

Project management

Healthcare industry knowledge

Vendor relations

Budgeting

Policy compliance

Education

Bachelor's degree

Job description

The Director Network Development is responsible for coordinating, negotiating and handling activities of the network development functions across the country for all networks for the assigned region. The Director is accountable for strategic growth and maintenance of networks to ensure competitive market positioning with regards to access, quality and cost.

This role supports customers and business needs across the Western region of the United States.

Key Responsibilities

• Grows and retains business through competitive network access and quality.
• Develops partnerships with strategic providers to ensure a market-leading discount and cost positions as well as highly competitive network offerings.
• Leads initiatives/strategies that will guide network development activities to enhance network competitive standing.
• Oversees provider contracting activities to ensure efficiency and maintains compliance with Company policies and standards, government laws, and regulations.
• Develops and executes a network development plan for the assigned region and oversees a team to secure provider agreements in support of the Company's strategic goals and objectives.
• Evaluates and monitors providers' performance standards and financial performance of contracts.
• Supports Sales teams to win business and grow and maintain membership.
• Oversees all provider negotiations, ensuring alignment with internal guidelines and financial standard and targets.
• Serves as leader on enterprise initiatives around network management

Key Qualifications

• 12+ years w/Bachelor's degree; 3+ years management
• A successful track record managing and negotiating major provider contracts
• Exceptional analytical skills to identify and evaluate business solutions
• Experience building and maintaining various provider networks across large geographies
• In-depth knowledge of managed care and healthcare business
• Experience with value-based contracting is preferred
• Experience with commercial and government programs is preferred
• Strong management skills to effectively manage division activities enterprise wide
• Excellent organizational/time management and project management skills and multi-tasking abilities
• Strong negotiation and strategic thinking skills
• Detail orientation and problem-solving capabilities

Base Pay Information

The national base pay range at the end is a good-faith estimate of what Delta Dental may pay for new hires. Actual pay may vary based on Delta Dental's assessment of the candidate's knowledge, skills, abilities (KSAs), related experience, education, certifications and ability to meet required minimum job qualifications. Other factors impacting pay include prevailing wages in the work location and internal equity. Pay Grade 23. $107,444 - $232,795

Benefits

• Competitive base and incentive pay
• 401(k) with robust matching and non-matching contributions
• Rich medical & pharmacy benefits
• 100% employer-paid dental and vision benefits
• Holistic wellbeing program with deep financial incentives
• Generous paid time off plus 12 paid holidays and your birthday off
• Culture of growth and learning: career development; tuition reimbursement; recognition program
• Family support: adoption assistance, fertility treatment, child, elder & pet care assistance
• Social responsibility and volunteer opportunities
• Employee discount program

Fair Chance Ordinances and Criminal Background Considerations

This position requires that the applicant undergo a background check. Qualified applicants with arrest or conviction records will be considered for employment in accordance with any applicable federal, state or local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance, the City of Los Angeles Fair Chance Initiative for Hiring Ordinance, the San Francisco Fair Chance Ordinance, and/or New York Corrections Law Article 23-A.

Important Work Authorization Information

Please note, Delta Dental will not sponsor applicants for work visas for this position.