Head of Network Recruiting
Core
Lead strategic provider sourcing to expand and improve the payer network by recruiting non-anchor providers, Essential Community Providers (ECPs), and Federally Qualified Health Centers (FQHCs) to meet network adequacy standards and improve patient access.
Role type
Senior leadership, network development head
Builds
Compliant provider networks enabling profitable member growth
Domain
Health insurance / Provider network management
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Strategic network expansion planning, provider recruitment strategy, network adequacy metrics analysis, regulatory compliance (CMS/state standards), multi-departmental workflow management, network management platforms (Quest Analytics), CRM tools, team building and mentorship
Preferred skills
Master's degree in Health Administration, Public Health, or Business Administration
Technologies
Quest Analytics, CRM tools
Responsibilities
Architect targeted network expansion strategies for non-anchor practitioners and medical groups; Monitor regional provider density and access metrics to close gaps; Partner with contracting and strategy teams to align recruitment with growth plans; Track recruitment pipeline velocity and team productivity; Use network design analytics to address regulatory coverage gaps; Build and lead a high-performing team of network development professionals
Seniority
Senior, hands-on IC with leadership scope
