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Sr. Director/VP - Market Leader (SD/OC)
Astrana HealthUnited Statesfull_timeVerifiedPosted 9 Jan 2026
💰 $230,000/yr($175,000/yr – $230,000/yr)
About the role
Sr. Director/VP - Market Leader (SD/OC)
Department: Network Management - SoCal
Employment Type: Full Time
Location: 600 City Parkway West 10th Floor, Orange, CA 92868
Reporting To: Lourdes Aberto
Compensation: $175,000 - $230,000 / year
Description
Astrana Health is seeking an experienced and strategic Network Leader to oversee and expand provider network operations across the San Diego (SD) and Orange County (OC) markets. This senior leadership role is responsible for achieving regional financial metrics, benchmarks, membership targets and physician development goals, while ensuring quality and service to members, physicians and provider partners.
The Network Leader will serve as the primary executive liaison with contracted providers, health plans, and internal operational teams. This individual will lead large-scale initiatives across value-based care performance, network optimization, risk arrangements, and provider success. The role may be filled at either the Senior Director or Vice President level depending on experience.
The Network Leader will serve as the primary executive liaison with contracted providers, health plans, and internal operational teams. This individual will lead large-scale initiatives across value-based care performance, network optimization, risk arrangements, and provider success. The role may be filled at either the Senior Director or Vice President level depending on experience.
What You'll Do
Strategic Network Leadership
- Lead the development and execution of network strategy for the SD and OC markets, ensuring alignment with Astrana Health’s business goals and growth priorities
- Identify market expansion opportunities, evaluate competitive landscape, and recommend strategies for provider exclusivity, acquisition, retention, and optimization
- Serve as the primary executive representative for all regional provider network operations
Provider Engagement & Relations
- Build and maintain strong, collaborative relationships with physicians, medical groups, ambulatory clinics, health systems, hospitals, and other network partners
- Oversee onboarding, integration, and ongoing support for contracted providers to ensure positive engagement and satisfaction
- Lead provider performance discussions, including quality metrics, utilization trends, and financial performance
Contracting & Negotiation
- Direct contracting strategic efforts, in coordination with Provider Contracting, across SD and OC, including negotiating rates, value-based arrangements, capitation agreements, and strategic partnerships
- Contribute to Payor Contracting initiatives and negotiations with market information and Network Management insights and data
- Ensure compliance with regulatory requirements, health plan standards, and contractual obligations
Operational Execution & Performance Management
- Partner with MSO leadership, claims, UM, CM, Risk/Quality, analytics, and finance teams to drive operational excellence across assigned markets
- Analyze network performance, identify gaps, and implement corrective action plans to improve quality, utilization, access, and financial outcomes
- Impact profitability and market position by managing the following: strategic membership growth initiatives, medical loss ratio, performance program compliance (HEDIS, P4V, STARS), clinical care program participation, encounter data submissions, provider satisfaction, provider contract strategy and physician rewards
- Oversee dashboards, KPIs, and reports to provide clear visibility into network health
Leadership & Cross-Functional Collaboration
- Lead and mentor regional network teams, supporting network managers, provider relations, contracting, and operational alignment
- Collaborate closely with senior leadership, market presidents, and clinical executives to ensure a unified strategy across Southern California markets
- Represent Astrana Health in market-level committees, health plan meetings, and industry events as needed
Qualifications
- Bachelor’s degree in Healthcare Administration, Business Administration, Public Health, or related field required
- Minimum 7+ years (Sr Director) or 10+ years (VP) progressive leadership experience in provider network management, managed care contracting, IPA/MSO operations, or value-based care
- Deep understanding of Southern California healthcare markets, including provider networks, IPA operations, and health plan partnerships
- Demonstrated success negotiating complex provider contracts, including risk-based arrangements
- Strong analytic and strategic planning skills with proven ability to drive performance outcomes
Strongly Preferred
- Master’s degree (MBA, MHA, MPH)
- Experience working in capitated environments, delegated IPA/MSO structure
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