The Role
The role involves overseeing provider network operations, achieving financial metrics, and leading strategic initiatives focused on network optimization and provider engagement in the Southern California markets.
Summary Generated by Built In
Astrana Health is seeking an experienced and strategic Network Leader to oversee and expand provider network operations across the San Diego (SD) and Orange County (OC) markets. This senior leadership role is responsible for achieving regional financial metrics, benchmarks, membership targets and physician development goals, while ensuring quality and service to members, physicians and provider partners.
The Network Leader will serve as the primary executive liaison with contracted providers, health plans, and internal operational teams. This individual will lead large-scale initiatives across value-based care performance, network optimization, risk arrangements, and provider success. The role may be filled at either the Senior Director or Vice President level depending on experience.
The Network Leader will serve as the primary executive liaison with contracted providers, health plans, and internal operational teams. This individual will lead large-scale initiatives across value-based care performance, network optimization, risk arrangements, and provider success. The role may be filled at either the Senior Director or Vice President level depending on experience.
What You'll Do
Strategic Network Leadership
- Lead the development and execution of network strategy for the SD and OC markets, ensuring alignment with Astrana Health’s business goals and growth priorities
- Identify market expansion opportunities, evaluate competitive landscape, and recommend strategies for provider exclusivity, acquisition, retention, and optimization
- Serve as the primary executive representative for all regional provider network operations
Provider Engagement & Relations
- Build and maintain strong, collaborative relationships with physicians, medical groups, ambulatory clinics, health systems, hospitals, and other network partners
- Oversee onboarding, integration, and ongoing support for contracted providers to ensure positive engagement and satisfaction
- Lead provider performance discussions, including quality metrics, utilization trends, and financial performance
Contracting & Negotiation
- Direct contracting strategic efforts, in coordination with Provider Contracting, across SD and OC, including negotiating rates, value-based arrangements, capitation agreements, and strategic partnerships
- Contribute to Payor Contracting initiatives and negotiations with market information and Network Management insights and data
- Ensure compliance with regulatory requirements, health plan standards, and contractual obligations
Operational Execution & Performance Management
- Partner with MSO leadership, claims, UM, CM, Risk/Quality, analytics, and finance teams to drive operational excellence across assigned markets
- Analyze network performance, identify gaps, and implement corrective action plans to improve quality, utilization, access, and financial outcomes
- Impact profitability and market position by managing the following: strategic membership growth initiatives, medical loss ratio, performance program compliance (HEDIS, P4V, STARS), clinical care program participation, encounter data submissions, provider satisfaction, provider contract strategy and physician rewards
- Oversee dashboards, KPIs, and reports to provide clear visibility into network health
Leadership & Cross-Functional Collaboration
- Lead and mentor regional network teams, supporting network managers, provider relations, contracting, and operational alignment
- Collaborate closely with senior leadership, market presidents, and clinical executives to ensure a unified strategy across Southern California markets
- Represent Astrana Health in market-level committees, health plan meetings, and industry events as needed
Qualifications
- Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or related field required
- Minimum 7+ years (Sr Director) or 10+ years (VP) progressive leadership experience in provider network management, managed care contracting, IPA/MSO operations, or value-based care
- Deep understanding of Southern California healthcare markets, including provider networks, IPA operations, and health plan partnerships
- Demonstrated success negotiating complex provider contracts, including risk-based arrangements
- Strong analytic and strategic planning skills with proven ability to drive performance outcomes
Strongly Preferred
- Master’s degree (MBA, MHA, MPH)
- Experience working in capitated environments, delegated IPA/MSO structures, or full-risk Medicare Advantage models
- Established relationships with physicians, medical groups, and health plans in the SD/OC markets
- Experience managing multi-site teams and leading large-scale organizational initiatives
- Strategic thinking and market insight
- Executive communication and relationship building
- Advanced negotiation and contract strategy
- Operational and financial acumen
- Leadership, coaching, and team development
- Ability to thrive in a fast-paced, evolving environment
Environmental Job Requirements and Working Conditions
- This position will require weekly travel anywhere between Los Angeles and San Diego.
- The total compensation target pay range for this role is: $175,000 to $230,000. Actual compensation will be determined based on geographic location (current or future), experience, and other job-related factors.
Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at [email protected] to request an accommodation.
Additional Information:
The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.
About
Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient. Our platform currently empowers over 20,000 physicians to provide care for over 1.7 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.
Skills Required
- Bachelor's degree in Healthcare Administration, Business Administration, Public Health, or related field
- Minimum 7+ years progressive leadership experience in provider network management
- Deep understanding of Southern California healthcare markets
- Demonstrated success negotiating complex provider contracts
- Strong analytic and strategic planning skills
- Master's degree (MBA, MHA, MPH)
- Experience working in capitated environments or full-risk Medicare Advantage models
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The Company
What We Do
Astrana Health is a physician-centric, technology-powered healthcare company that operates an integrated delivery platform. It enables providers to participate in value-based care arrangements, helping them deliver accessible, high-quality, and cost-effective care to patients. The company provides care coordination services to patients, primary care physicians, specialists, and health plans, leveraging proprietary technology to streamline operations and improve patient outcomes across local communities.
