Provider Network Strategy and Governance Specialist II

L.A. Care; Los Angeles (CA); Presencial; USD 77.000 - 124.000; Jornada completa

Ventajas ofrecidas por este puesto de trabajo

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Descripción de la vacante

L.A. Care Health Plan in Los Angeles, CA seeks a Provider Network Strategy and Governance Specialist II to lead development and execution of provider network strategy, governance initiatives, and performance monitoring.

You will collaborate across internal functions to support dashboards, KPIs, regulatory readiness, and standardized tools, while contributing to budget tracking and stakeholder communications. This role requires travel to offsite locations.

Formación

• Bachelor's Degree in Healthcare Administration or Related Field
• Equivalent education and/or experience may be considered
• At least 3 years of experience in provider network strategy, health plan, or managed care environment
• Experience supporting cross-functional teams and managing tactical plans
• Experience with budget tracking and event coordination and assisting with presentations to diverse stakeholders

Responsabilidades

• Supports the development and implementation of annual tactical plans by translating strategic priorities into measurable network performance outcomes, providing actionable insights and governance support to promote effective execution, transparency, and regulatory readiness.
• Monitors and tracks KPIs, departmental goals, and strategic initiatives. Maintains dashboards, scorecards, and reporting tools to monitor network performance, track progress against strategic initiatives, identify emerging opportunities and risks, and provide leadership with timely, actionable insights.
• Develops and maintains standardized playbooks and processes for provider lifecycle activities, including orientation, onboarding, renewal tracking, and termination processes.
• Prepares materials for external advisory committees and stakeholder groups, collaborates with cross-functional teams to support network performance and provider engagement, and assists with business operations such as budget tracking and event planning to promote effective communication, stakeholder trust, and operational efficiency.
• Promotes continuous improvement by supporting strategic initiatives, driving timely completion of assigned deliverables, and contributing to result-oriented solutions that advance organizational objectives.
• Performs other duties as assigned.

Conocimientos

Organizational skills

Project management

Dashboards & reporting

Communication

Budget tracking

Event planning

Stakeholder engagement

Educación

Bachelor's Degree in Healthcare Administration or Related Field

Descripción del empleo

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Provider Network Strategy and Governance Specialist II

Job Category: Provider Relations

Department: Provider Network Management

Location: Los Angeles, CA, US, 90017

Position Type: Full Time

Requisition ID: 13359

Salary Range:$77,265.00(Min.) -$100,445.00(Mid.) -$123,625.00(Max.)

Established in 1997, L.A. Care Health Plan is an independent public agency created by the state of California to provide health coverage to low-income Los Angeles County residents. We are the nation’s largest publicly operated health plan. Serving more than 2 million members, we make sure our members get the right care at the right place at the right time.
Mission: L.A. Care’s mission is to provide access to quality health care for Los Angeles County's vulnerable and low-income communities and residents and to support the safety net required to achieve that purpose.

Job Summary

The Provider Network Strategy and Governance Specialist II supports the development, coordination, and execution of provider network strategy and governance initiatives. This position assists in translating organizational and network priorities into actionable plans, measurable goals, and standardized operating practices that advance network performance, provider engagement, regulatory readiness, and organizational objectives. The Specialist II collaborates across internal functions to support the monitoring and coordination of strategic initiatives, network key performance indicators (KPIs), departmental goals, budgets, and key deliverables. This position contributes to the creation of reporting and governance materials, supports the implementation of network management tools, and participates in provider lifecycle activities.

Duties

Supports the development and implementation of annual tactical plans by translating strategic priorities into measurable network performance outcomes, providing actionable insights and governance support to promote effective execution, transparency, and regulatory readiness.

Monitors and tracks KPIs, departmental goals, and strategic initiatives. Maintains dashboards, scorecards, and reporting tools to monitor network performance, track progress against strategic initiatives, identify emerging opportunities and risks, and provide leadership with timely, actionable insights. Contributes to the development and standardization of network management tools, playbooks, and governance processes to promote consistency and operational excellence across the organization.

Develops and maintains standardized playbooks and processes for provider lifecycle activities, including orientation, onboarding, renewal tracking, and termination processes. Supports the coordination and execution of department forums and events to promote consistent provider experiences, operational accountability, and cross-functional collaboration.

Prepares materials for external advisory committees and stakeholder groups, collaborates with cross-functional teams to support network performance and provider engagement, and assists with business operations such as budget tracking and event planning to promote effective communication, stakeholder trust, and operational efficiency.

Promotes continuous improvement by supporting strategic initiatives, driving timely completion of assigned deliverables, and contributing to result-oriented solutions that advance organizational objectives.

Performs other duties as assigned.

Education Required

Bachelor's Degree in Healthcare Administration or Related Field

In lieu of degree, equivalent education and/or experience may be considered.

Experience

Required:

At least 3 years of experience in provider network strategy, health plan, or managed care environment.

Experience supporting cross-functional teams and managing tactical plans.

Experience with budget tracking and event coordination and assisting with presentations to diverse stakeholders.

Preferred:

Experience with government-sponsored programs, value-based incentive structures, and provider reimbursement modeling.

Skills

Required:

Strong organizational and project management skills to support performance monitoring and reporting.

Proficient in maintaining dashboards, scorecards, and reporting tools.

Strong communication and collaboration skills, with the ability to assist in developing governance structures.

Basic business operations skills including budget tracking and event planning, with a demonstrated commitment to accountability, teamwork, and continuous improvement

Proficient in monitoring KPIs, utilizing reporting tools, and navigating governance structures.

Preferred:

Strong presentation and stakeholder engagement skills.

Familiarity with multi-stakeholder governance.

Physical Requirements

Light

Additional Information

Required:
Travel to offsite locations for work required.

Salary Range Disclaimer: The expected pay range is based on many factors such as geography, experience, education, and the market. The range is subject to change.

L.A. Care offersa wide range of benefits including

• Paid Time Off (PTO)
• Tuition Reimbursement
• Retirement Plans
• Medical, Dental and Vision
• Wellness Program

Nearest Major Market: Los Angeles
Job Segment: Healthcare Administration, Healthcare