Director – Network

Note: This role will require up to 70% of travel.

Role Scope:

We are looking for an experienced and strategic network leader with deep expertise in provider contracting, relationship management, and regulatory compliance to build and lead Habitat Health’s network function. As Director, Network, Contracting & Management, you’ll design and lead our provider network strategy from conception through ongoing management, negotiating high-value contracts, ensuring regulatory compliance, working across functions, and building lasting provider relationships across markets. We are looking for a leader who can craft strategy, set requirements, and position our network is best in -class, while also having the expertise and willingness to deliver results in the near term.

• Develop the network strategy, roadmap, tactical execution plan, and timelines to ensure compliance with PACE, Medicare, and Medicaid regulatory requirements.

• Lead the contracting function, including template design, negotiation strategy, and execution for physicians, hospitals, ancillary providers, and community-based partners.

• Hire, inspire, and manage a growing team focused on provider contracting, credentialing, directory management, and performance oversight.

• Establish and enforce network governance standards, SLAs, and provider performance scorecards to ensure quality, access, and cost-effectiveness.

• Partner closely with PACE Center Leadership, Office of the CMO, Population Health, Finance, Strategy, Growth, and Health Plan Operations to define network priorities and close gaps.

• Develop and oversee value-based and performance-linked contracting models to improve quality and participant outcomes.

• Implement provider engagement strategies, including training, forums, and ongoing relationship management to ensure alignment with our mission and care model.

• Monitor the evolving healthcare landscape, regulatory changes, and market dynamics to identify opportunities for network expansion, innovation, and competitive differentiation.

• Be a critical thinker able to quickly assess network adequacy data, provider performance metrics, and market trends, and present strategic recommendations to leadership.

Qualifications

• Aligns with our purpose and values and is excited about living those out in daily practice.

• Ability to lead with influence across PACE Center Leadership, Office of the CMO, Population Health, Practice Operations, Finance, Strategy, Growth, and Health Plan Operations.

• 5+ years of experience in a senior network management or provider contracting leadership role in a health plan or integrated delivery system.

• 8+ years of hands-on experience in network contracting, provider relations, or health plan operations.

• Deep knowledge of Medicare Advantage and / or Medicaid network adequacy requirements and contracting practices.

• Strong negotiation skills with a track record of building high-performing, collaborative provider relationships.

• Experience with monitoring provider data management systems, network analytics, and adequacy tools.

• Comfortable navigating complex, multi-stakeholder environments and explaining contracting, regulatory, and performance concepts in clear, accessible terms.

• Energized by ambiguity and a self-starter—able to drive the direction of complex, evolving projects.

Nice to have:

• Prior experience in PACE

Compensation: 

We take into account an individual’s qualifications, skillset, and experience in determining final salary. This role is eligible for medical/dental/vision insurance, short and long-term disability, life insurance, flexible spending accounts, 401(k) savings, paid time off, and company-paid holidays. The expected salary range for this position is $ 148,000 - $166,000 and is bonus eligible. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

How Habitat Health supports you:

• Medical, Dental, and Vision plans with competitive coverage for employees and dependents
• Health Savings Account with employer contribution
• Flexible Spending Account
• 12 weeks of fully paid Parental Leave for birthing and non-birthing parents
• 401k with match
• CME and License Reimbursements for clinical team members
• Short and Long Term Disability
• Voluntary Life Insurance
• Paid Vacation Time
• Paid Sick Time
• 10 company holidays
• Employee Assistance Program with access to mental health programs, legal and financial support, and much more!

Vaccination Policy, including COVID-19

At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, please note that we have vaccination policies to keep both our team members and participants safe. For covid and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe as an essential requirement of this role.  Requests for reasonable accommodations due to an applicant’s disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment.

Our Commitment to Diversity, Equity, and Inclusion:

Habitat Health is an Equal Opportunity employer and is committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.

Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law.  Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].

Beware of Scams and Fraud

Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/.