Network Medical Executive

Job Description: • Serve as a physician leader supporting affordability, trend, and network performance objectives within assigned markets and provider relationships • Use provider relationships, market intelligence, and performance data to identify opportunities to improve cost, quality, utilization, access, and overall network performance • Partner with provider organizations to address clinical and operational drivers of healthcare trend, unnecessary variation, and avoidable cost • Support implementation of evidence-based initiatives that improve value, strengthen outcomes, and promote appropriate site-of-care, specialty, and referral management strategies • Collaborate with analytics, actuarial, network, finance, and clinical partners to evaluate opportunities, define interventions, and assess performance improvement • Provide clinical leadership in addressing emerging affordability risks, provider performance opportunities, and strategic network priorities • Develop and maintain trusted executive-level relationships with health systems, physician organizations, specialty groups, and independent providers • Serve as a credible clinical advisor and strategic partner to provider leadership • Facilitate dialogue regarding affordability opportunities, provider performance, value-based care, quality outcomes, and clinical collaboration • Gather provider insight and market intelligence to inform internal decision-making, escalation management, and strategic planning • Support resolution of complex provider concerns, escalations, and relationship opportunities • Support growth, execution, and optimization of value-based care initiatives and provider performance programs • Promote provider adoption of care delivery models and population health strategies • Identify barriers to provider success and connect providers with clinical, operational, and analytic resources • Provide clinical consultation and market insight for network strategy, provider partnerships, and contracting activities • Assist in evaluating provider organizations, market opportunities, strategic partnerships, and performance improvement opportunities • Support initiatives that strengthen network competitiveness, provider collaboration, and clinical alignment • Contribute to Network & Provider Relations special projects, tools, resources, best practices, and operational consistency Requirements: • MD or DO degree • Active, unrestricted medical license • Board certification in an ABMS-recognized specialty • Minimum 5 years of clinical practice experience • Minimum 3 years of healthcare leadership, payer, network, provider relations, or value-based care experience • Ability to influence physician leaders, provider executives, and cross-functional partners • Strong understanding of healthcare economics, clinical quality, utilization, population health, and performance improvement • Exceptional communication, presentation, relationship-building, and executive presence skills • Ability to operate effectively in a highly matrixed, fast-paced, and evolving environment • Experience with provider network management, contracting support, or provider performance strategy preferred • Experience with value-based care arrangements, quality improvement, or population health operations preferred • Experience with healthcare affordability initiatives, trend management, analytics, or financial performance improvement preferred • MBA, MHA, MPH, or equivalent business experience or training preferred • Experience leading cross-functional projects, peer learning forums, or team-based operating model initiatives preferred • Work-at-home internet connection obtained through cable broadband or fiber optic service with at least 10Mbps download/5Mbps upload Benefits: • Annual bonus eligibility • Long term incentive plan eligibility • Medical benefits • Vision benefits • Dental benefits • Well-being and behavioral health programs • 401(k) • Company paid life insurance • Tuition reimbursement • Minimum of 18 days of paid time off per year • Paid holidays • Leaves of absence • Work-at-home arrangement