Provider Network Strategy and Governance Specialist II

L.A. Care Health Plan; Los Angeles (CA); On-site; USD 77,000 - 124,000; Full time

Benefits offered by this job

Paid Time Off

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Volunteer Time Off

Job summary

L.A. Care Health Plan is seeking a Provider Network Strategy and Governance Specialist II in Los Angeles for shaping network strategy and governance initiatives. You will translate priorities into actionable plans, monitor KPIs, and support budget tracking and stakeholder communications.

You will collaborate across teams to standardize tools, playbooks, and processes, promoting regulatory readiness and operational excellence. Travel to offsite locations may be required.

Qualifications

• 3+ years in provider network strategy in health plan or managed care.
• Experience supporting cross-functional teams and managing tactical plans.
• Experience with budget tracking and coordinating events and presentations.

Responsibilities

• Translate strategic priorities into measurable network performance outcomes.
• Maintain dashboards, scorecards, and reporting tools for monitoring.
• Develop standardized playbooks for provider lifecycle activities.
• Support department forums and cross-functional collaboration.
• Prepare materials for external committees and assist with budget tracking.
• Drive continuous improvement and timely completion of initiatives.

Skills

Organizational skills

Project management

Dashboards & reporting

Communication & collaboration

Budget tracking & event planning

KPIs & governance

Stakeholder engagement

Education

Bachelor's Degree in Healthcare Administration

Equivalent education/experience

Tools

Budget tracking tools

Reporting tools

Job description

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

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 Offers a Wide Range Of Benefits Including

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