Executive Director, President, Clinically Integrated Network
Job Description
Executive Director, President, Clinically Integrated Network
About the Company
Leading global provider of health insurance & wellness services
Industry: Hospital & Health Care
Type: Non Profit
Founded: 1996
Employees: 10,001+
Categories
- Health Care
- Health & Wellness
- Insurance
- Biotech
- Healthcare
Specialties
- health care
Business Classifications
- B2C
About the Role
The Company is seeking an Executive Director, President for its Clinically Integrated Network. This senior leadership role is pivotal in driving the strategic direction, financial performance, and operational oversight of the network and its management service organization. The successful candidate will be responsible for ensuring the achievement of goals related to contract language, rate pricing, negotiation strategy, and revenue reconciliation, all in alignment with the company's operating agreements. Collaboration with internal and external stakeholders is essential to advance value-based care initiatives and enhance the health and well-being of the communities served. The role also involves leading the development and execution of risk and value-based performance strategies, overseeing the start-up and development of the management service organization, and managing a high-performing team focused on managed markets. Applicants must have a minimum of 10-12 years' progressive leadership experience in healthcare management, with a strong focus on clinically integrated networks, managed care, or value-based care. A proven track record in developing and implementing strategic initiatives that improve healthcare quality, efficiency, and financial performance is required. The ideal candidate will have hands-on experience in a complex healthcare delivery environment, particularly with risk and value-based programs, and a deep understanding of healthcare technology and provider incentive programs. The role demands a pragmatic problem-solver with the ability to drive innovation, manage financial aspects of managed care contracts, and ensure compliance with all relevant regulations. A BS in a related field is required, with a preference for a Master's degree, and professional actuarial licensure is a plus.
Hiring Manager Title
Hiring Manager Title: President, Allegheny Health Network
Travel Percent
Travel Percent: 50%
Functions
- CEO/President
- Non-Profit Management
- Medical Care/Hospital Administration
- Strategy
- Operations
Salary
Salary: USD 72000 - 108000 per year
Experience
Experience: 5 years required