Sr. Director/VP - Market Leaders (Southern California)

Astrana Health, Inc.•Orange, CA

8d•$175,000 - $250,000•Onsite

About The Position

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. Develops and implements strategic expansion plans, executes revenue-driven initiatives in a highly competitive marketplace and achieves membership growth goals via retention & new growth. Work closely with clinical leadership, ensuring access, and meeting regulatory requirements. Responsible for ensuring compliance with company and regulatory requirements, mandates and ACA reform. Identifies technology and procedure improvements for increased efficiency, accuracy and continuous process enhancements. Implements strategies across all lines of business considering product-specific factors to optimize patient care and network performance. 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.

Requirements

Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or related field.
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.

Nice To Haves

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.

Responsibilities

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.
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.
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.
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.
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.