Vice President, Network at VNS Health

The Vice President, Network is a senior executive leader responsible for the strategic development, contracting, performance, and optimization of VNS Health Plans' provider networks. This role requires deep expertise in managed care, provider contracting, value-based payment arrangements, and network strategy, along with a proven ability to build high-performing provider partnerships that drive growth, quality outcomes, regulatory compliance, and financial performance.

Reporting to senior Health Plan leadership, the Vice President, Network develops and executes the overall provider network strategy across all VNS Health Plans products and oversees provider contracting, provider relations, recruitment, network adequacy, and regulatory compliance. This executive leader is responsible for building and maintaining strategic relationships with hospitals, Independent Practice Associations (IPAs), physician groups, nursing homes, Licensed Home Care Services Agencies (LHCSAs), ancillary providers, and other key network partners.

Working collaboratively with clinical, finance, operations, quality, compliance, and product leadership, the Vice President will drive network innovation, optimize provider performance, advance value-based care initiatives, and ensure the organization maintains a high-performing network that supports member growth, exceptional care delivery, and long-term financial sustainability.

What We Provide

• Referral bonus opportunities
• Generous paid time off (PTO), starting at 30 days of paid time off and 9 company holidays
• Health insurance plan for you and your loved ones, Medical, Dental, Vision, Life and Disability
• Employer-matched retirement saving funds
• Personal and financial wellness programs
• Pre-tax flexible spending accounts (FSAs) for healthcare and dependent care
• Generous tuition reimbursement for qualifying degrees
• Opportunities for professional growth and career advancement
• Internal mobility, generous tuition reimbursement, CEU credits, and advancement opportunities

What You Will Do

Strategic Network Leadership

• Develop and execute the overall provider network strategy for all VNS Health Plans products.
• Drive provider management initiatives that support membership growth, improved quality outcomes, enhanced member access, and operational efficiency.
• Lead the development and expansion of value-based payment and risk-based contracting strategies.
• Assess network capabilities and identify opportunities to support current and future product offerings.
• Recommend and implement best practices that strengthen provider performance and operational effectiveness.

Provider Contracting & Relationship Management

• Lead negotiations and management of contracts with hospitals, Independent Practice Associations (IPAs), physician groups, nursing homes, Licensed Home Care Services Agencies (LHCSAs), ancillary providers, and other key network partners.
• Develop and execute relationship strategies with IPAs, primary care providers, and strategic provider organizations to drive growth, quality, and financial performance.
• Negotiate risk-based and Value-Based Payment (VBP) arrangements that align provider incentives with organizational goals.
• Oversee external vendor contracting and ongoing relationship management.
• Ensure provider performance metrics are achieved and implement corrective actions when necessary.

Financial & Network Performance Management

• Serve as a key leader in managing provider cost structures and supporting achievement of Medical Loss Ratio (MLR) targets.
• Partner with Finance, Clinical, Quality, and Health Plan leadership to evaluate network performance and identify opportunities for improvement.
• Analyze provider utilization, member demand, provider performance, and market trends to optimize network effectiveness.
• Identify unmet service needs and implement solutions that improve provider and member satisfaction.

Network Development & Provider Recruitment

• Direct all provider recruitment activities across health plan product lines.
• Develop provider recruitment, onboarding, and orientation strategies that address network adequacy and growth objectives.
• Partner with Product and Operations teams to identify provider needs and expand network capacity.
• Build and maintain strategic relationships throughout the provider community.

Regulatory Compliance & Network Adequacy

• Ensure compliance with all applicable federal, state, and health plan regulatory requirements.
• Oversee network adequacy and provider access initiatives to meet CMS and New York State Department of Health standards.
• Ensure timely and accurate completion of required reporting, including:
• Health Provider Network (HPN)
• Health Services Delivery (HSD)
• Medicare Part C Reporting
• Provider Directory Reporting
• Other CMS and New York State regulatory submissions
• Monitor regulatory developments and implement necessary operational and strategic changes.

Cross-Functional Collaboration

• Partner with Clinical, Quality, Operations, Product, Compliance, and Finance leaders to align network strategy with organizational priorities.
• Work collaboratively to resolve provider issues and improve provider experience.
• Support quality assurance and performance improvement initiatives for network providers.
• Maintain visibility in the provider community through industry events, conferences, and professional organizations.

Leadership & Talent Development

• Lead and develop high-performing provider contracting, provider relations, and network management teams.
• Oversee hiring, performance management, coaching, employee development, succession planning, and compensation decisions.
• Develop and manage departmental budgets and resource allocation.
• Foster a culture of accountability, collaboration, innovation, and continuous improvement.

Qualifications

Education

• Bachelor's Degree in Business, Health Administration, Health Policy, a related discipline or the equivalent work experience required
• Master's Degree in Business, Health Administration, Health Policy or related discipline required

Work Experience

• Minimum ten years of experience in health care, with a minimum five years in a managed care environment and five years in health care management required
• Experience negotiating hospital, IPA, Nursing Homes, LHCSAs and provider contracts required
• Experience negotiating risk and Value Based Payment contracts required

Pay Range

USD $362,900.00 - USD $453,600.00 /Yr.

VNS Health has been committed to meeting the needs of New Yorkers for over 130 years. We’re one of the largest nonprofit home- and community-based health care organizations in the country, and today, more than 11,500 team members work together to make a difference in the lives of more than 99,000 patients and members on any given day.