The Director of Network Relations leads Evry Health's provider network function across all fully insured commercial health plan markets — owning network strategy, adequacy compliance, and complex contract negotiation, including value-based arrangement design that aligns provider incentives with quality and cost outcomes.

Network Strategy Development & Execution: Develops and continuously refines Evry Health's provider network strategy — geographic prioritization, contracting targets, payment methodology, and network composition objectives.

Team Leadership & Territory Oversight: Leads, coaches, develops, and performance-manages the Network Relations team, setting territory objectives and providing strategic guidance on complex contracting situations.

Complex Contract Negotiation & Value-Based Design: Personally leads high-value, strategically significant provider contract negotiations and designs innovative value-based contracting models that align provider incentives with quality outcomes.

Network Adequacy Oversight & Regulatory Compliance: Maintains executive-level oversight of network adequacy monitoring and SERFF filing activity, serving as Evry Health's primary point of accountability to regulators on adequacy matters.

Fee Schedule Governance & Leadership Reporting: Partners with Actuarial on fee schedule benchmarks and rate targets, and delivers regular executive-ready network performance reports to the CMO and leadership team.

Required

Bachelor's degree in Business, Healthcare Administration, Economics, or related field

10+ years in managed care contracting, provider network development, or provider relations

3+ years in a director-level role managing a network contracting team

Expertise negotiating multi-methodology (incl. value-based/risk) contracts & SERFF/adequacy compliance

Preferred

MBA, Healthcare Administration, or closely related graduate degree

Experience building a network function from inception at a growth-stage health plan

Experience in both health plan-side and provider-side contracting roles

Knowledge of Texas commercial health insurance market & adequacy requirements

Director of Network Relations

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