About The Position

Prominence Health is a value-based care organization bridging the gap between affiliated health systems and independent providers, building trust and collaboration between the two. Prominence Health creates value for populations and providers to strengthen integrated partnership, advance market opportunities, and improve outcomes for our patients and members. Founded in 1993, Prominence Health started as a health maintenance organization (HMO) and was acquired by a subsidiary of Universal Health Services, Inc. (UHS) in 2014. Prominence Health serves members, physicians, and health systems across Medicare, Medicare Advantage, Accountable Care Organizations, and commercial payer partnerships. Prominence Health is committed to transforming healthcare delivery by improving health outcomes while controlling costs and enhancing the patient experience. Learn more at: https://prominence-health.com/ Job Summary: The Director of Network Development leads strategic provider network growth, market expansion, and network optimization for the health plan. This role is responsible for ensuring the health plan maintains a competitive, comprehensive, and high‑performing provider network across assigned markets. The Director oversees provider recruitment and contracting initiatives, directs market engagement strategies, strengthens relationships with key provider organizations, and ensures network adequacy standards are met for regulatory, product, and market needs. This leader partners closely with Network Management, Contracting, Provider Relations, Product, Compliance, and Market Leadership to build and execute multi‑market network strategies that support membership growth, improve access to care, enhance provider performance, and advance enterprise goals. The Director also provides thought leadership, oversees team performance, manages departmental priorities, and drives innovation in network development operations.

Requirements

  • Bachelor’s degree in business administration, Healthcare Administration, or related field; master’s degree preferred.
  • 7–10 years of progressive experience in health plan network development, provider contracting, or market strategy.
  • 5+ years of leadership experience managing teams and leading multi‑market initiatives.
  • Strong understanding of commercial, Medicare Advantage, and/or Medicaid managed care networks and regulatory requirements.
  • Proven experience recruiting, contracting, or managing relationships with a wide range of healthcare providers (physicians, hospitals, specialists, ancillary providers, behavioral health).
  • Demonstrated success in developing and executing network growth strategies in competitive markets.
  • Excellent communication, negotiation, and executive‑presence skills.
  • Proficiency with CRM tools (e.g., Salesforce, Zoho CRM, HubSpot) and Microsoft Office Suite.
  • Strong organizational, analytical, and problem‑solving skills; must be self‑directed, adaptable, and results‑oriented.
  • Ability to travel within assigned markets. Travel will be less than 50% of the time.

Nice To Haves

  • Bilingual (Spanish–English) a plus.

Responsibilities

  • Lead the strategic roadmap for network growth, competitiveness, and regulatory compliance.
  • Analyze market trends to identify expansion opportunities and guide recruitment of physicians, hospitals, ancillary providers, and behavioral health partners.
  • Direct provider recruitment, contracting oversight, onboarding, and relationship management.
  • Build and maintain strategic partnerships with health systems, IPAs, medical groups, and specialty providers.
  • Collaborate cross‑functionally to implement provider agreements and network changes.
  • Serve as an executive liaison for major provider partners and represent the plan in market-facing activities.
  • Manage and mentor Network Development staff; oversee operations, reporting tools, and department budget.
  • Ensure compliance with federal, state, and accreditation requirements and deliver executive-level reporting on network status and performance.

Benefits

  • Loan Forgiveness Program
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • SoFi Student Loan Refinancing Program
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
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