Vice President, Network Development na Central Health

The Vice President, Network Development serves as a senior executive leader with enterprise-wide responsibility for the design, growth, and stewardship of the provider network. This role provides strategic oversight of Credentialing, Contracting, and Provider Relations, ensuring the delivery of compliant, efficient, and value-driven network operations. The Vice President is accountable for the overall performance of these functions, including departmental operations, financial stewardship, regulatory compliance, and workforce development. As a member of the executive leadership team, the Vice President, Network Development collaborates with the CEO, Board of Directors, and other senior leaders to shape organizational strategy, strengthen provider partnerships, and advance the mission of delivering high-quality, accessible, and cost-effective healthcare to members.

Essential Functions:

Strategic Leadership
· Establish and execute a comprehensive vision for network development that aligns with corporate growth, quality, and service objectives.
· Serve as a trusted advisor to the CEO on provider market dynamics, competitive positioning, and opportunities for expansion.
· Represent the organization externally with providers, regulators, and industry stakeholders, strengthening brand reputation and market presence.

Credentialing & Compliance
· Ensure enterprise-wide credentialing processes meet or exceed NCQA, CMS, ERISA, and Texas Department of Insurance requirements.
· Provide governance-level oversight of credentialing and re-credentialing activities, ensuring readiness for audits and accreditation reviews.
· Champion policies and procedures that drive excellence in regulatory compliance and operational integrity

Contracting & Network Strategy
· Lead high-stakes negotiations with physicians, hospitals, and ancillary providers to secure competitive, sustainable agreements.
· Develop strategic partnerships that expand service offerings, enhance geographic coverage, and improve member access.
· Monitor provider market conditions and adapt network strategy to remain agile and competitive.

Provider Relations & Engagement
· Cultivate long-term, collaborative provider relationships that reinforce organizational priorities and shared accountability for outcomes.
· Oversee provider engagement strategies to enhance satisfaction, retention, and alignment with value-based care initiatives.
· Serve as the executive point of escalation for provider concerns, demonstrating responsiveness and commitment to partnership.

Operational Excellence & Fiscal Stewardship
· Oversee the operational performance of credentialing, contracting, and provider relations, ensuring efficiency and scalability.
· Develop and manage the departmental budgets, balancing fiscal responsibility with strategic investment.
· Implement performance dashboards, key metrics, and executive reporting to ensure accountability and transparency

Talent Development & Culture
· Build and lead a high-performing leadership team capable of advancing organizational goals.
· Foster a culture of innovation, accountability, and collaboration across network development functions.
· Invest in workforce development initiatives that strengthen leadership bench depth and staff engagement.

Knowledge, Skills and Abilities:

Executive Performance Metrics:
· Strength, adequacy, and competitiveness of provider network
· Regulatory and accreditation compliance outcomes
· Provider satisfaction and retention rates
· Achievement of departmental financial targets
· Staff engagement, leadership development, and organizational culture impact

Minimum Education: (higher degree accepted)

• Bachelor's Degree (higher degree accepted) In healthcare administration, business administration, or a related field preferred; 10 years of managed care contracting experience may be substituted or/and physician practice experience may be substituted for degree requirement.

Minimum Experience: 10+ years

• 10–15 years of progressive leadership experience in network development, contracting, credentialing, or provider relations within a health plan, HMO, or TPA environment, or experience in practice management.
• Deep understanding of Texas healthcare market dynamics, ERISA, and managed care regulatory frameworks. Required
• Proven track record of executive-level contract negotiations, provider network expansion, and compliance oversight. Required
• Demonstrated success in leading complex departments and managing budgets. Required
• Exceptional executive presence, communication, and relationship-building skills with the ability to engage stakeholders at all levels.