VP Network Management - Washington & Oregon (Health Insurance)

Location: Hybrid role requiring three days per week in an office in Portland, Vancouver, or Renton, Oregon/Washington. Candidates must live within commuting distance or be willing to relocate.

Salary: $262,650–$355,350 expected hiring range; full range $224,000–$366,000; 30% bonus target.

Company

Purpose-driven health care organization focused on making health care easier and building an economically sustainable, person-focused system.

What you will do

• Lead provider network strategy, contracting activities, network operations, access analysis, reimbursement analysis, and unit cost management.
• Set provider negotiation strategy and oversee execution with internal and external stakeholders.
• Evaluate opportunities to expand or change networks to support affordability, geographic coverage, marketability, quality, and provider satisfaction.
• Partner with health care, market, product, sales, and operational leaders on short- and long-term strategies.
• Develop best practices, innovative care and cost-sharing models, performance metrics, and reporting protocols.
• Lead high-performing teams, allocate resources, develop leaders, and drive complex organizational change.

Requirements

• Master's degree in business, health care administration, public health, or a related field, plus 15 years of broad health care and medical management leadership experience, including at least 7 years in health care payer organizations, or equivalent experience.
• Required experience converting providers from fee-for-service to value-based contracts across commercial, Medicare, and Medicaid lines of business.
• Deep knowledge of health insurance trends, reimbursement methods, accountable care, payment models, medical care management, and provider contracting.
• Experience developing broad-access, geographically competitive provider networks and negotiating with hospitals, provider groups, and integrated delivery systems.
• Strong business acumen, including financial and budget management, data analysis, strategy execution, communication, facilitation, and consensus building.
• Must be able to work in a hybrid arrangement with three days per week in a Portland, Vancouver, or Renton office, or be willing to relocate.

Culture & Benefits

• Purpose-driven, trust-based culture focused on innovation and sustainable, person-focused health care.
• Medical, dental, vision, and mental health coverage, plus employer health savings account contributions.
• Paid time off, 10 company-paid holidays, and up to 12 weeks of paid parental leave for eligible employees.
• 401(k) retirement plan with significant company matching and potential discretionary contributions.
• Wellness programs, employee assistance support, commute and parking benefits, and employee resource groups.
• Work-from-home options are available for most roles subject to wired internet requirements; this position specifically requires hybrid office attendance.