Senior Manager, Network Strategy and Governance

L.A. Care Health Plan; Los Angeles (CA); Sur place; USD 135 000 - 216 000; Plein temps

Avantages offerts par ce poste

Paid Time Off (PTO)

Tuition Reimbursement

Retirement Plans

Medical, Dental and Vision

Wellness Program

Volunteer Time Off (VTO)

Résumé du poste

L.A. Care Health Plan in Los Angeles is seeking a Senior Manager of Network Strategy and Governance to lead enterprise-wide provider network strategy, governance, and KPIs. You will translate priorities into actionable plans, oversee budgets, and report progress to senior leadership.

The role focuses on standardizing tools and forums, mentoring staff, and aligning network priorities with organizational goals. Travel to offsite locations is possible as part of leadership activities.

Qualifications

• At least 7 years of experience leading provider network strategy in health plans.
• 5+ years of supervising staff and leading teams.
• Experience managing budgets and governance structures.
• Strong ability to monitor KPIs and report to senior leadership.
• Proven track record in cross-functional collaboration and strategic initiatives.

Responsabilités

• Shape and steward the provider network strategy with measurable objectives.
• Maintain dashboards and scorecards for senior leadership visibility.
• Develop and sustain governance structures across network functions.
• Lead annual budget development and financial management for network functions.
• Present network strategies to external committees and stakeholders.
• Inspire teams and ensure accountability, transparency, and continuous improvement.

Connaissances

Identifying risks

Strategic planning

Cross-functional leadership

Data-driven reporting

Budget management

People leadership

Formation

Bachelor's Degree

Description du poste

Salary Range: $135,136.00 (Min.) - $175,676.00 (Mid.) - $216,218.00 (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

1 Position Available

The Senior Manager of Network Strategy and Governance is responsible for leading the development, coordination, and execution of enterprise-wide provider network strategy, and governance. This role translates organizational and network strategic priorities into actional annual tactical plans, measurable goals, governance structures for decision making, and standardized operating practices that advance network performance, provider engagement, regulatory readiness, and organizational objectives.

The Senior Manager serves as a central coordination point across Network Management and key Health Plan functions, establishing mechanisms to monitor strategic initiatives, network key performance indicators (KPIs), departmental goals, budgets, and major deliverables. This role develops executive-level reporting and governance materials that provide visibility into progress, risks, dependencies, and opportunities requiring leadership attention or intervention.

The Senior Manager leads the development and implementation of standardized network management tools, playbooks, and governance processes, including provider orientation and onboarding, provider termination, provider renewal tracking, network lifecycle activities, coordination of and execution of Networks Strategy and Governance department forums, representation of network strategic priorities to external advisory committees or other stakeholder groups. Serves as a subject matter expert for clinic based assignment strategy and supports including business operations designed to promote assignment and network optimization.

Manages all aspects of running an efficient team, including hiring, supervising, coaching, training, disciplining, and motivating direct reports. Responsible for driving performance to ensure that the team can lead high-level decisions that impact on the success of L.A. Care. Oversee the development, implementation, administration, and maintenance of the department's programs, policies, and procedures. Responsible for driving management and performance to ensure that the team can lead high-level decisions that impact on the success of L.A. Care.

Collaborate closely with executive/ senior management to establish goals that align with the company’s mission and vision.

Duties

Shapes and stewards the Health Plan’s provider network strategy. Translate enterprise priorities into actionable initiatives, milestones, and deliverables, ensuring that every strategic objective is anchored by clear performance measures and accountable ownership. By orchestrating the annual tactical plan, aligns cross-functional teams around a unified vision, driving the organization’s network evolution in lockstep with broader business goals.

Establishes a robust framework for tracking and managing Network Strategy and Engagement goals, strategic initiatives, and annual priorities. Through vigilant monitoring, proactively identifies emerging risks and barriers, facilitating timely corrective actions and leadership escalation as needed. Maintains a comprehensive portfolio of Key Performance Indicators (KPIs) and management reporting tools including dashboards and scorecards that provide senior leadership with concise, actionable visibility into network performance, strategic priorities, financial outcomes, and opportunities for growth.

Develops, implements, and sustains governance structures that foster clarity, accountability, and transparency across all network functions. By coordinating governance forums, decision logs, action tracking, and reporting mechanisms, this role ensures effective oversight and alignment of network priorities, empowering leadership to make informed decisions and drive continuous improvement.

Leads the coordination of annual budget development and ongoing financial management for network functions, tracking expenditures, administrative commitments, and investment priorities. Additionally, plans and executes Network Strategy and Engagement events including all-staff meetings, leadership forums, and planning sessions to communicate priorities, strengthen organizational alignment, and enhance employee engagement.

Develops and presents network strategies, priorities, and performance updates to external member forums, such as community advisory committees. Presentations are crafted to be clear and accessible, ensuring diverse stakeholders understand and support the network’s direction.

Inspires teams to deliver results that advance the organization’s strategic objectives and uphold its commitment to excellence.

Manages staff and the day-to-day activities in the department. Participates in the department budgeting process. Responsible for scheduling, training, performance, corrective actions, mentoring, and developing of the team(s). Foster and promote a culture of transparency, continuous improvement, accountability, and shared ownership of enterprise goals. Mentors and develops staff, building technical and problem-solving skills across the team.

Implements and provides guidance to the departmental and organizational processes and policies and works with senior and/or executive management to define, prioritize, and develop projects and programs.

Responsible for Identifying complex problems and reviewing related information to develop and evaluate options and implement solutions.

Manages complex projects, engaging and updating key stakeholders, developing timelines, leads others to complete deliverables on time and ensures implementation upon approval.

Plans and implements systems and procedures to maximize operating efficiency and achieve strategic priorities.

Performs other duties as assigned.

Education Required

Bachelor's Degree

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

Experience

Education Preferred

Required:

• At least 7 years of experience leading provider network strategy in a health plan or managed care setting. This includes translating organizational priorities into actionable plans, measurable goals, and accountable ownership.
• At least 5 years of experience in leading, supervising and/or managing staff.
• Experience leading teams, projects, initiatives, or cross-functional groups.
• Leadership experience in coaching teams, setting expectations, and fostering a culture of accountability and continuous improvement is paramount.
• Experience in coordinating cross-functional teams, managing annual tactical plans, and tracking strategic initiatives is essential.
• Experience developing and maintaining frameworks for monitoring KPIs, reporting tools, and governance structures is required.
• Experience in business operations, including budget management, event planning, and presenting strategies to diverse stakeholders, is necessary.
• Experience in developing and sustaining governance structures, coordinating forums, decision logs, and reporting mechanisms ensures oversight and alignment of network priorities.

Preferred:

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

Skills

Required:

• Identifying risks skills, facilitating corrective actions, and providing leadership with clear visibility into network performance and financial outcomes.
• Advanced strategic planning and execution skills, enabling them to translate enterprise priorities into actionable initiatives and measurable outcomes.
• Effective cross-functional leadership skills is essential, as is the ability to align teams around a unified vision and drive network evolution in sync with organizational goals.
• Knowledge and expertise in performance monitoring, establishing frameworks for tracking goals and initiatives, and proactively identifying risks and facilitating corrective actions.
• Proficiency in data-driven reporting maintaining portfolios of KPIs, dashboards, and scorecards is critical for providing leadership with actionable insights.
• Strong business operations skills, including budget management, event planning, and stakeholder presentations, are required.
• Adept at people leadership, providing direction, coaching, and performance management to foster a culture of accountability, collaboration, and continuous improvement.
• Strong interpersonal skills for building relationships, fostering teamwork, and creating a positive work environment. Ability to guide and support team members.
• Excellent ability to set clear goals, develop strategic plans to achieve those goals, and inspire others to work towards a shared vision.
• Skilled in mediating disputes and resolving conflicts in a fair and constructive manner.
• Must have a deep understanding of financial principles.
• Ability and excellent knowledge in developing and managing budgets, forecasting future financial outcomes, and making informed decisions about resource allocation.
• Demonstrated ability to make informed decisions.
• Strong verbal, written communication and presentation skills.
• Deep understanding of the industry, market dynamics, and organizational operations to identify opportunities and navigate challenges.
• Strong ability and knowledge to analyze market trends, anticipate future changes, and develop long-term strategies that align with the company's goals.

Preferred:

• Advanced communication skills with diverse stakeholders.
• Knowledge and exposure to presenting in Board environments, negotiating complex partnerships, and navigating multi-stakeholder governance will be well-positioned to contribute to the organization’s strategic objectives and drive continuous improvement.

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)