Vice President, Specialty Contracting

Regal Medical Group•Los Angeles, CA

1d•$160,000 - $180,000•Onsite

About The Position

The Vice President of Specialty Contracting is responsible for the strategic leadership, development, negotiation, implementation, and ongoing management of specialty provider contracts across the organization's Independent Practice Association (IPA) network. This executive role drives specialty network performance by optimizing provider relationships, improving access to care, managing specialty costs, and supporting value-based care initiatives.

Requirements

Bachelor's degree in Healthcare Administration, Business Administration, Finance, Public Health, or related field required.
Minimum 10 years of progressive healthcare network management, provider contracting, or managed care experience.
Minimum 5 years of leadership experience managing provider contracting or network management teams.
Experience working with IPAs, medical groups, health plans, ACOs, or other risk-bearing healthcare organizations.
Extensive experience negotiating specialty physician, ancillary, and facility agreements.
Demonstrated success managing capitated arrangements, specialty network performance, and medical cost initiatives.

Nice To Haves

Master's degree (MBA, MHA, MPH, or related field) preferred.
Experience managing specialty physician networks in California.
Knowledge of California healthcare regulations and delegated model operations.
Experience with risk-bearing organizations, Medicare Advantage, Medi-Cal, and Commercial populations.
Familiarity with value-based care programs and population health strategies.

Responsibilities

Develop and execute the organization's specialty contracting strategy to support growth, network adequacy, and financial performance.
Evaluate specialty network needs and identify opportunities to expand, optimize, or restructure provider relationships.
Lead market analysis, provider assessments, and network performance reviews to support strategic contracting decisions.
Establish and maintain strong relationships with specialty physician groups, ancillary providers, hospitals, and healthcare systems.
Lead complex negotiations for specialty physician, ancillary, and facility agreements.
Structure and negotiate fee-for-service, capitated, bundled payment, and value-based reimbursement arrangements.
Ensure contract terms align with organizational goals, financial targets, regulatory requirements, and quality initiatives.
Oversee contract implementation, renewals, amendments, and ongoing performance monitoring.
Analyze specialty utilization, cost trends, referral patterns, and network performance metrics.
Develop strategies to improve specialty cost performance and reduce unnecessary variation in care delivery.
Partner with Finance and Medical Management teams to manage specialty capitation expenses and improve overall medical cost performance.
Identify opportunities to reduce network leakage and improve care coordination within the IPA network.
Collaborate with Medical Directors, Network Physicians, and Operational Leaders to implement specialty network initiatives.
Lead Joint Operating Committee meetings and provider performance reviews.
Utilize data analytics to drive provider engagement and identify opportunities for quality improvement and cost reduction.
Support physician alignment efforts and value-based care transformation initiatives.
Provide strategic leadership and mentorship to Specialty Contracting and Network Management staff.
Foster a high-performance culture focused on accountability, collaboration, innovation, and results.
Establish departmental goals, performance metrics, and reporting structures.
Promote cross-functional partnerships to achieve organizational objectives.
Ensure compliance with all applicable state and federal regulations, health plan requirements, and accreditation standards.
Maintain contract documentation, audit readiness, and regulatory reporting requirements.
Monitor healthcare market trends and regulatory developments impacting specialty contracting strategies.
All other duties as directed by management