About The Position

In this role, you will shape how we understand and respond to a fast changing healthcare landscape. As the Senior Director of Network Development & Competitive Insights, you will guide a national team that brings clarity to complex data, strengthens our competitive position, and helps us make smarter, faster decisions. This work fuels our affordability strategy, supports growth, and ensures we continue to deliver strong value to the customers and communities we serve. We lead with curiosity, collaborate with purpose, and believe in the power of insight to spark meaningful progress.

Requirements

  • Bachelor’s degree.
  • Minimum 7 years of leadership experience, including leading remote teams in a complex, matrixed environment.
  • Minimum 10 years of managed healthcare experience.
  • Minimum 10 years in competitive intelligence, provider contracting, pricing, network analytics, or network development.
  • Deep experience with hospital and payer price transparency data and vendors.
  • Strong understanding of consultant benchmark reporting (e.g., UDS discounts, transparency methodologies).
  • Extensive knowledge of managed care products, network design, reimbursement methodologies, and provider communities.
  • Expertise in network adequacy, termination management, recruitment strategies, and alternative access products.
  • Demonstrated ability to make sound decisions in complex situations.
  • Strong understanding of primary and secondary sources of competitive information.
  • Proven ability to protect proprietary data and represent Contracting Leadership on network and contracting exception requests.
  • Ability to influence strategy and drive alignment across matrixed teams.
  • Experience managing SOWs and vendor relationships.
  • Excellent oral, written, and executive level communication skills.
  • High proficiency with Microsoft Office and business intelligence tools.
  • Experience leveraging AI and technology to improve quality, consistency, and efficiency.

Nice To Haves

  • MBA, Actuarial Certification, or Master’s in Healthcare Administration.

Responsibilities

  • Set the national vision for competitive intelligence and network strategy, delivering clear, actionable insights that strengthen affordability and market competitiveness.
  • Integrate primary and secondary intelligence sources—including unit cost, network access, benefit and product strategy, reimbursement models, and emerging market disruptors—into enterprise decision making.
  • Translate complex market dynamics into simple, compelling narratives that guide strategic priorities across national and regional partners.
  • Drive alignment across National, Regional, and Enterprise CI teams to ensure a unified competitive intelligence strategy.
  • Lead national assessment of competitive unit cost, leveraging transparency data, benchmark reporting, CMS/State sources, and emerging datasets to inform pricing and contracting strategies.
  • Deliver market level competitive insights that give Pricing and Contracting a clear view of strengths, risks, and opportunities.
  • Provide national expertise on network access, adequacy requirements, termination management, provider recruitment strategies, and alternative access solutions.
  • Guide targeted research and competitive reporting that improves provider contracting effectiveness and supports affordability outcomes.
  • Oversee standard and ad hoc reporting that is concise, accurate, consistent, and easy to act on.
  • Build controls and dashboards that help leaders identify trends early and respond with confidence.
  • Lead budgeting, forecasting, and cost management efforts for the department.
  • Ensure strong operational documentation, including training guides, job aids, and process improvements.
  • Champion the use of automation, AI solutions, analytics platforms, and digital tools to elevate insight quality and team efficiency.
  • Advance new methods of competitive intelligence gathering and reporting.
  • Lead development of technology enabled processes that improve data accuracy, workflow speed, and scalability.
  • Build strong partnerships with Contracting, Pricing, Network Analytics, Network Operations, Sales, Product, Medical Management, Compliance, and Enterprise CI.
  • Remove barriers, resolve escalations, and ensure seamless cross functional execution.
  • Lead and inspire national and regional teams through change, fostering a culture of innovation, inclusion, growth, and strategic thinking.
  • Own the People Strategy for the organization, including talent attraction, development, succession planning, and retention.
  • Develop a collaborative, high performing team environment that values diverse perspectives and continuous learning.

Benefits

  • health-related benefits including medical, vision, dental, and well-being and behavioral health programs
  • 401(k)
  • company paid life insurance
  • tuition reimbursement
  • a minimum of 18 days of paid time off per year and paid holidays
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