Job details

Senior Director - Network Operations

Job Title: Senior Director – Network Operations

Department: AstranaCare TX - Provider Relations

About the Role:

The Senior Director of Network Operations will be responsible for leading and managing the operational and strategic activities of the IPA network. This role requires a strong background in healthcare management, with a focus on developing and maintaining relationships with physicians and healthcare providers, overseeing daily operations, optimizing performance metrics, and ensuring compliance with regulatory and quality standards. The Senior Director will work closely with executive leadership, clinical teams, and network providers to drive growth and improve outcomes.

What You'll Do:

Operational Leadership:

Oversee the daily operations of the IPA network, ensuring efficiency and effectiveness in delivering high-quality care.
Develop and implement strategic plans to meet organizational goals and improve patient outcomes.
Manage and coordinate contracting and network development efforts, including negotiations with payers and providers.

Provider Relations and Network Management:

Build and maintain strong relationships with physicians, healthcare providers, and clinical teams.
Facilitate communication and collaboration among IPA members to promote best practices and improve care coordination.
Monitor network adequacy and identify opportunities to expand the provider network to meet the needs of patients.

Quality and Performance Management:

Oversee quality improvement initiatives, ensuring that performance metrics and benchmarks are met or exceeded.
Collaborate with clinical and administrative teams to implement programs that enhance patient care and outcomes.
Utilize data analytics to monitor performance and drive evidence-based decision-making.

Financial Management:

Develop and manage the IPA budget, ensuring cost-effective operations while maximizing financial performance.
Oversee risk management and financial reporting, including tracking utilization, managing shared savings agreements, and overseeing the allocation of resources.
Ensure timely and accurate financial reporting in collaboration with finance teams.

Compliance and Regulatory Oversight:

Ensure compliance with all applicable healthcare regulations, including HIPAA, CMS guidelines, and state-specific requirements.
Develop and implement policies and procedures to maintain regulatory compliance and mitigate risks.

Team Development and Management:

Lead, mentor, and develop a high-performing team, fostering a culture of accountability and continuous improvement.
Conduct performance evaluations, set goals, and provide professional development opportunities for staff members.

Strategic Initiatives and Project Management:

Drive key strategic initiatives aimed at improving care delivery and patient experience.
Oversee special projects, including technology implementations, process improvement efforts, and strategic partnerships.

Qualifications:

Preferred bachelor’s degree in healthcare administration, Business Administration
Minimum of 8-10 years of experience in healthcare management, with at least 5 years in a leadership role overseeing IPA operations or managed care.
Strong understanding of healthcare systems, payer contracting, and value-based care models.
Excellent leadership and communication skills, with the ability to influence and build relationships at all levels.
Proficient in data analysis and financial management, with a focus on driving outcomes and optimizing performance.
Knowledge of regulatory requirements and healthcare quality metrics.
Strategic thinker with proven experience in leading complex projects and initiatives.

You're great for this role if:

Experience with risk-based contracting and shared savings agreements.
Familiarity with EMR/EHR systems and healthcare technology solutions.
Strong background in physician engagement and network development.

Who We Are:

Astrana Health (NASDAQ: ASTH) is a physician-centric, technology-powered healthcare management company. We are building and operating a novel, integrated, value-based healthcare delivery platform to empower our physicians to provide the highest quality of end-to-end care for their patients in a cost-effective manner. Our mission is to combine our clinical experience, best-in-class delivery network, and technological expertise to improve patient outcomes, increase access to healthcare, and make the US healthcare system more efficient.

Our platform currently empowers over 10,000 physicians to provide care for over 1 million patients nationwide. Our rapid growth and unique position at the intersection of all major healthcare stakeholders (payer, provider, and patient) gives us an unparalleled opportunity to combine clinical and technological expertise to improve patient outcomes, increase access to quality healthcare, and reduce the waste in the US healthcare system.

Our Values:

Put Patients First
Empower Entrepreneurial Provider and Care Teams
Operate with Integrity & Excellence
Be Innovative
Work As One Team

Environmental Job Requirements and Working Conditions:

Our organization follows a hybrid work structure where the expectation is to work both in office and at home on a weekly basis. The office is located at 19500 HWY 249, Suite 570 Houston, TX 77070
The total compensation target pay range for this role is: $155,000 - $180,000. The salary range represents our national target range for this role.

Astrana Health is proud to be an Equal Employment Opportunity and Affirmative Action employer. We do not discriminate based upon race, religion, color, national origin, gender (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity, gender expression, age, status as a protected veteran, status as an individual with a disability, or other applicable legally protected characteristics. All employment is decided on the basis of qualifications, merit, and business need. If you require assistance in applying for open positions due to a disability, please email us at humanresourcesdept@astranahealth.com to request an accommodation.

Additional Information:

The job description does not constitute an employment agreement between the employer and employee and is subject to change by the employer as the needs of the employer and requirements of the job change.

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CEO of Astrana Health

Brandon Sim

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By Astrana Health

Astrana Health is a forward-thinking team of physician-led innovators with a strong foundation of physician empowerment, committed to enhancing physician work satisfaction and repairing the healthcare system. Our core mission revolves around under...

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Public

DEPARTMENTS

Operations

SENIORITY LEVEL REQUIREMENT

Senior

INDUSTRY

Health Care Services & Hospitals

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