Strategic Network Operations Director

L.A. Care Health Plan; Los Angeles (CA); On-site; USD 206,000 - 351,000; Full time

Benefits offered by this job

PTO

Tuition Reimbursement

Retirement Plans

Medical, Dental & Vision

Wellness Program

Volunteer Time Off

Job summary

L.A. Care Health Plan seeks a Senior Director, Network Operations to lead a high-performance team and drive efficient provider networks in Los Angeles.

You will translate complex health regulations into practical workflows, manage budgets, and oversee regulated programs while collaborating with Compliance, Legal, and other stakeholders. You will shape strategy, improve provider experience, and deliver timely reporting to executive leadership, ensuring alignment with enterprise goals and patient

Qualifications

• Experience implementing Medi-Cal contracts and related guidance.
• Ability to translate complex regulatory guidance into workflows.
• Proven leadership in large-scale managed care operations.
• Strong cross-functional collaboration and stakeholder management.
• Expert in data-driven performance reporting and budgeting.

Responsibilities

• Oversee network operations with alignment to strategy and regulations.
• Lead strategic planning, budgeting, and resource allocation.
• Translate mandates into practical workflows and provider communications.
• Drive program initiatives like rate increases and payments.
• Develop performance reporting for executive visibility.

Skills

Medi-Cal Contracts

APL Implementation

Network Adequacy

Communication Skills

Regulatory Audits

Cross-functional Collaboration

Provider Types

Stakeholder Management

Strategic Thinking

Decision Making

Adaptability

Change Leadership

Interpersonal Skills

Data Analysis

Education

Bachelor's Degree

Master's Degree

Job description

L.A. Care Health Plan seeks a Senior Director, Network Operations to lead a high-performance team and drive efficient provider networks in Los Angeles.

You will translate complex health regulations into practical workflows, manage budgets, and oversee regulated programs while collaborating with Compliance, Legal, and other stakeholders. You will shape strategy, improve provider experience, and deliver timely reporting to executive leadership, ensuring alignment with enterprise goals and patient