Vice President, Direct Network Strategy

Alignment Health

2d•$198,219 - $297,329

About The Position

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together. The Vice President of Direct Network Strategy is responsible for developing, executing and monitoring the strategic and tactical plans to implement a comprehensive Direct Network of primary care physicians and specialists across existing and expansion markets, with a primary focus in California. The Vice President of Direct Network Strategy will be responsible for implementing a scalable, value driven direct provider network that supports Alignment Health’s goals for quality, cost effectiveness, access and member experience.

Requirements

10+ years of progressive leadership with experience in healthcare network strategy, value based provider contracting and Medicare Advantage.
Familiarity with supporting primary care transformation and risk-bearing provider entities.
Multi-market network development experience.
Requires a Bachelor’s degree in Public Health, Healthcare Administration, Business, or related field
Strong knowledge of primary care dynamics, value-based care principles, and the role of PCPs in population health management.
Proven track record of building and contracting with diverse provider networks, including engaging primary care providers and specialists across diverse markets and delivery systems.
Experience with designing and implementing value-based care programs focused on quality, patient experience, and total cost of care.
Exceptional leadership, negotiation, and relationship management skills.
Demonstrated ability to work cross-functionally and lead in a matrixed environment.
Strong data analysis, project management, and communication skills
Experience working in or with health plans, provider organizations, or quality-focused healthcare settings in the Medicare Advantage space.
Excellent oral, written and presentation skills

Nice To Haves

Master’s degree strongly preferred.

Responsibilities

Develop and Execute Network Strategy - Lead the overarching strategy to expand and optimize a high-performing Direct Provider Network to drive market growth and stability, with a focus in California.
Drive Network Expansion – Accelerate the growth of the Direct Network across existing and emerging markets, ensuring geographic adequacy, clinical integration, and competitive positioning.
Lead Contracting Strategy and Financial Performance - Implement diverse contracting methodologies, including shared savings and value-based programs, that incentivize quality, performance, and long-term provider partnerships. Manage the financial planning related to network costs and provider contracts, ensuring alignment with organizational goals.
Strategic Leadership for Direct Network Recruitment - Lead and manage all aspects of Direct Network development, including executing market-specific strategies to identify, recruit, and contract with high-quality PCPs and specialists, as well as oversee onboarding and ongoing education to ensure effective integration and alignment.
Procure Market Intelligence - Monitor industry trends, market dynamics, and regulatory changes to identify opportunities for Direct Network development, expansion and optimization.
Enhance Provider Engagement – Foster deep and sustained engagement with the Direct Network providers through continuous relationship management and performance monitoring to build collaborative partnerships that drive growth.
Build and Lead High-Performing Teams - Hire, mentor, and manage a team of network management and contracting professionals to support all Direct Network initiatives.
Establish and Monitor Performance Metrics - Define and track key performance indicators (KPIs) and OKRs related to Direct Network recruitment, network adequacy, cost, quality, utilization, and provider engagement. Implement performance improvement plans, where needed, to support course correction to achieve targeted goals.
Ensure Regulatory Compliance - Maintain compliance with federal, state, and contractual requirements, including network adequacy, access standards, and credentialing.
Foster Cross-Functional Collaboration - Partner with regional GMs, Finance, Clinical, and Operations teams to align network strategies with broader market and organizational goals.
Oversees assigned staff. Responsibilities include recruiting, orienting, and training employees; assigning workload; planning, monitoring, and evaluating job results; and coaching, counseling, and disciplining employees.