Provider Network Strategy and Governance Specialist II

Job Summary

The Provider Network Strategy and Governance Specialist II supports the development, coordination, and execution of provider network strategy and governance initiatives. This position assists in translating organizational and network priorities into actionable plans, measurable goals, and standardized operating practices that advance network performance, provider engagement, regulatory readiness, and organizational objectives. The Specialist II collaborates across internal functions to support the monitoring and coordination of strategic initiatives, network key performance indicators (KPIs), departmental goals, budgets, and key deliverables. This position contributes to the creation of reporting and governance materials, supports the implementation of network management tools, and participates in provider lifecycle activities.

Duties

Supports the development and implementation of annual tactical plans by translating strategic priorities into measurable network performance outcomes, providing actionable insights and governance support to promote effective execution, transparency, and regulatory readiness.

Monitors and tracks KPIs, departmental goals, and strategic initiatives. Maintains dashboards, scorecards, and reporting tools to monitor network performance, track progress against strategic initiatives, identify emerging opportunities and risks, and provide leadership with timely, actionable insights. Contributes to the development and standardization of network management tools, playbooks, and governance processes to promote consistency and operational excellence across the organization.

Develops and maintains standardized playbooks and processes for provider lifecycle activities, including orientation, onboarding, renewal tracking, and termination processes.  Supports the coordination and execution of department forums and events to promote consistent provider experiences, operational accountability, and cross-functional collaboration.

Prepares materials for external advisory committees and stakeholder groups, collaborates with cross-functional teams to support network performance and provider engagement, and assists with business operations such as budget tracking and event planning to promote effective communication, stakeholder trust, and operational efficiency.

Promotes continuous improvement by supporting strategic initiatives, driving timely completion of assigned deliverables, and contributing to result-oriented solutions that advance organizational objectives.

Performs other duties as assigned.

Duties Continued

Education Required

Education Preferred

Experience

Required:

At least 3 years of experience in provider network strategy, health plan, or managed care environment.

Experience supporting cross-functional teams and managing tactical plans.

Experience with budget tracking and event coordination and assisting with presentations to diverse stakeholders.

Preferred:

Experience with government-sponsored programs, value-based incentive structures, and provider reimbursement modeling.

Skills

Required:

Strong organizational and project management skills to support performance monitoring and reporting.

Proficient in maintaining dashboards, scorecards, and reporting tools.

Strong communication and collaboration skills, with the ability to assist in developing governance structures.

Basic business operations skills including budget tracking and event planning, with a demonstrated commitment to accountability, teamwork, and continuous improvement

Proficient in monitoring KPIs, utilizing reporting tools, and navigating governance structures.

Preferred:

Strong presentation and stakeholder engagement skills.

Familiarity with multi-stakeholder governance.

Licenses/Certifications Required

Licenses/Certifications Preferred

Required Training

Physical Requirements

Additional Information

Required:
Travel to offsite locations for work required.