Director, Network
Habitat HealthAbout the role
At Habitat Health, we envision a world where older adults experience an independent and joyful aging journey in the comfort of their homes, enabled by access to comprehensive health care. Habitat Health provides personalized, coordinated clinical and social care as well as health plan coverage through the Program of All-Inclusive Care for the Elderly (“PACE”) in collaboration with our leading healthcare partners, including Kaiser Permanente.
Habitat Health offers a fully integrated experience that brings more good days and a sense of belonging to participants and their caregivers. We build engaged, fulfilled care teams to deliver personalized care in our centers and in the home. And we support our partners with scalable solutions to meet the health care needs and costs of aging populations.
Habitat Health is growing, and we’re looking for new team members who wish to join our mission of redefining aging in place. To learn more, visit https://www.habitathealth.com.
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,
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