Harbor Health
COMPANY OVERVIEW
At Harbor Health, we're transforming healthcare in Texas through collaboration and innovation. We're seeking passionate individuals to help us create a member-centered experience that connects comprehensive care with a modern payment model. If you're ready to make a meaningful impact in a dynamic environment where your contributions are valued, please bring your talents to our team!
POSITION OVERVIEW
Harbor Health is looking for a VP of Network and Payor Relationships to lead both sides of our payvider model: the contracts we hold with outside payors on behalf of our medical group, and the provider network we build and manage for Harbor Health Insurance Company (HHIC). This is a senior leadership role reporting directly to our Chief Operating Officer, bringing together work that's currently split across multiple people into a single, accountable seat. You'll inherit an existing network operations team and shape how that team grows as Harbor Health scales across Texas.
POSITION DUTIES & RESPONSIBILITIES
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Own and negotiate medical group payor contracts, including reimbursement rates, network participation terms, and value-based arrangements with third-party payors.
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Lead network development and provider relations for HHIC, building and maintaining the provider network that supports our health plan.
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Manage and grow a team responsible for network operations, provider relations, and contracting support.
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Partner with Regulatory Affairs on TDI filings and network adequacy requirements for HHIC.
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Work with Legal on contract language and risk, ensuring compliance with Stark Law, the Anti-Kickback Statute, and HIPAA.
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Build and execute a unified payor and network strategy that aligns Harbor Health's medical group and health plan sides of the business.
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Track Texas payor and network market trends, and adjust strategy as competitive and regulatory conditions shift.
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Present network and payor strategy, team performance, and contract pipeline to the Harbor Leadership Team (HLT).
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Assess current team structure and roles, and build the org needed to support Harbor Health's network and payor strategy going forward.
DESIRED PROFESSIONAL SKILLS & EXPERIENCE
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8-10+ years of experience in payor contracting, network development, or provider relations, including direct experience inside a health plan.
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Experience managing both sides of a payor relationship: negotiating with external payors and building a provider network for an internal health plan.
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People leadership experience, with a track record of managing and developing a team.
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Working knowledge of the Texas payor landscape, TDI regulatory requirements, and value-based contracting models.
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Familiarity with Stark Law, the Anti-Kickback Statute, and HIPAA as they apply to network contracting and provider relations.
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Bachelor's degree required; MBA, MHA, or JD preferred.
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Comfortable operating in a startup environment where processes and org structure are still evolving.
WHAT WE OFFER
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Opportunity to build and lead the team responsible for Harbor Health's network and payor strategy across our care delivery and health plan sides
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Collaborative and dynamic work environment
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An organization made of people who are passionate about changing the healthcare landscape
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Competitive salary and benefits package
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Professional development and growth opportunities
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A transparent and unique culture
EQUAL EMPLOYMENT OPPORTUNITY
Harbor Health is an Equal Opportunity Employer. We celebrate diversity and are committed to building an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other protected characteristic.
Requires 8–10+ years in payer contracting, network development, or provider relations; people leadership; Texas payer and TDI knowledge; compliance familiarity; and a bachelor's degree.
Key Responsibilities
- negotiating contracts
- building networks
- leading teams
Job Details
- Category: Healthcare Services - Allied Health
- Seniority: Senior Level
- Commitment: Full Time
- Workplace: Remote — Texas, United States
- Languages: English
About Harbor Health
A Texas healthcare organization connecting comprehensive care with a modern payment model. — Industry: Healthcare