Network Medical Executive

This is a fully remote position, open to applicants in United States.

📋 Description

• Act as a physician leader to promote affordability, trend, and network performance goals within designated markets and provider relationships.

• Leverage provider relationships, market insights, and performance metrics to pinpoint opportunities for enhancing cost, quality, utilization, access, and network performance.

• Collaborate with provider organizations to tackle clinical and operational factors affecting healthcare trends, unnecessary variations, and avoidable expenses.

• Support initiatives based on evidence, execution of value-based care, appropriate site-of-care, specialty, and referral management strategies.

• Work alongside analytics, actuarial, network, finance, and clinical teams to explore opportunities and evaluate performance enhancements.

• Establish and nurture executive-level relationships with health systems, physician groups, specialty organizations, and independent providers.

• Provide guidance to provider leadership on performance improvement, collaboration, and network priorities.

• Foster discussions regarding affordability, provider performance, value-based care, quality outcomes, and clinical collaboration.

• Collect provider insights and market intelligence to guide decision-making, manage escalations, and shape strategic planning.

• Aid in resolving complex provider issues and escalations.

• Support the growth, execution, and optimization of value-based care initiatives and provider performance programs.

• Encourage the adoption of care delivery models and population health strategies.

• Offer clinical consultation and market insights for network strategy, provider partnerships, and contracting processes.

• Assist in assessing provider organizations, market possibilities, strategic partnerships, and performance improvement prospects.

• Contribute to Network & Provider Relations special projects, tools, resources, best practices, and operational consistency.

• Collaborate across network, contracting, clinical, analytics, market, and finance teams.

⛳️ Requirements

• MD or DO degree required.

• Active and unrestricted medical license.

• Board certification in an ABMS-recognized specialty.

• At least 5 years of clinical practice experience.

• Minimum of 3 years in healthcare leadership, payer, network, provider relations, or value-based care roles.

• Proven ability to influence physician leaders, provider executives, and cross-functional partners.

• Strong grasp of healthcare economics, clinical quality, utilization, population health, and performance enhancement.

• Excellent communication, presentation, relationship-building, and executive presence skills.

• Ability to function effectively in a highly matrixed, fast-paced, and dynamic environment.

• Reliable broadband or fiber optic internet connection with a minimum of 10Mbps download and 5Mbps upload speed when working remotely.

• Preferred: experience in provider network management, contracting support, or provider performance strategy.

• Preferred: knowledge of value-based care arrangements, quality improvement, or population health operations.

• Preferred: expertise in healthcare affordability initiatives, trend management, analytics, or financial performance enhancement.

• Preferred: MBA, MHA, MPH, or equivalent business education or experience.

• Preferred: experience with cross-functional projects, peer learning forums, or team-based operating model initiatives.

🏝️ Benefits

• Annual bonus eligibility.

• Long-term incentive plan eligibility.

• Medical benefits.

• Vision benefits.

• Dental benefits.

• Well-being and behavioral health programs.

• 401(k) plan.

• Company-paid life insurance.

• Tuition reimbursement.

• A minimum of 18 days of paid time off each year.

• Paid holidays.

• Leaves of absence.