Senior Manager, Network Strategy and Governance

L.A. Care Health Plan•Los Angeles, CA

1d•$135,136 - $216,218•Onsite

About The Position

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 actionable 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.

Requirements

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.
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.

Nice To Haves

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

Responsibilities

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.