Job Description

The Vice President of Specialty Contracting is responsible for the strategic leadership, development, negotiation, implementation, and ongoing management of specialty provider contracts across the organization's Independent Practice Association (IPA) network. This executive role drives specialty network performance by optimizing provider relationships, improving access to care, managing specialty costs, and supporting value-based care initiatives.

Essential Duties and Responsibilities include the following:

Contracting Strategy & Network Development

Develop and execute the organization's specialty contracting strategy to support growth, network adequacy, and financial performance.

Evaluate specialty network needs and identify opportunities to expand, optimize, or restructure provider relationships.

Lead market analysis, provider assessments, and network performance reviews to support strategic contracting decisions.

Establish and maintain strong relationships with specialty physician groups, ancillary providers, hospitals, and healthcare systems.

Contract Negotiation & Management

Lead complex negotiations for specialty physician, ancillary, and facility agreements.

Structure and negotiate fee-for-service, capitated, bundled payment, and value-based reimbursement arrangements.

Ensure contract terms align with organizational goals, financial targets, regulatory requirements, and quality initiatives.

Oversee contract implementation, renewals, amendments, and ongoing performance monitoring.

Financial Performance & Cost Management

Analyze specialty utilization, cost trends, referral patterns, and network performance metrics.

Develop strategies to improve specialty cost performance and reduce unnecessary variation in care delivery.

Partner with Finance and Medical Management teams to manage specialty capitation expenses and improve overall medical cost performance.

Identify opportunities to reduce network leakage and improve care coordination within the IPA network.

Provider Collaboration & Performance Improvement

Collaborate with Medical Directors, Network Physicians, and Operational Leaders to implement specialty network initiatives.

Lead Joint Operating Committee meetings and provider performance reviews.

Utilize data analytics to drive provider engagement and identify opportunities for quality improvement and cost reduction.

Support physician alignment efforts and value-based care transformation initiatives.

Leadership & Team Development

Provide strategic leadership and mentorship to Specialty Contracting and Network Management staff.

Foster a high-performance culture focused on accountability, collaboration, innovation, and results.

Establish departmental goals, performance metrics, and reporting structures.

Promote cross-functional partnerships to achieve organizational objectives.

Regulatory Compliance

Ensure compliance with all applicable state and federal regulations, health plan requirements, and accreditation standards.

Maintain contract documentation, audit readiness, and regulatory reporting requirements.

Monitor healthcare market trends and regulatory developments impacting specialty contracting strategies.

All other duties as directed by management

The pay range for this position at commencement of employment is expected to be between $160,000 - $180,000 annually; however, base pay offered may vary depending on multiple individualized factors, including market location, job-related knowledge, licensure, skills, and experience.

The total compensation package for this position may also include other elements, including a sign-on bonus and discretionary awards in addition to a full range of medical, financial, and/or other benefits (including 401(k) eligibility and various paid time off benefits, such as vacation, sick time, and parental leave), dependent on the position offered.

Details of participation in these benefit plans will be provided if an employee receives an offer of employment.

If hired, the employee will be in an “at-will position,” and the Company reserves the right to modify base salary (as well as any other discretionary payment or compensation program) at any time, including for reasons related to individual performance, Company or individual department/team performance, and market factors.

As one of the fastest-growing Independent Physician Associations in Southern California, Regal Medical Group, Lakeside Community Healthcare & Affiliated Doctors of Orange County, offers a fast-paced, exciting, welcoming, and supportive work environment. Opportunities abound, and enterprising, capable, focused people prosper with us. We promote teamwork, nurture learning, and encourage advancement for all of our employees. We want to see you excel, because we believe that your success is our success.

Full-Time Position Benefits

The success of any company depends on its employees. For us, employee satisfaction is crucial not only to the well-being of our organization but also to the health and wellness of our members. As such, we are firmly dedicated to providing our employees the options and resources necessary for building security and maintaining a healthy balance between work and life.

Our dedication to our staff is evident in our comprehensive benefits package. We offer a very generous mixture of benefits, including many employer-paid options.

Health and Wellness:

• Employer-paid comprehensive medical, pharmacy, and dental for employees
• Vision insurance
• Zero co-payments for employed physicians' office visits
• Flexible Spending Account (FSA)
• Employer-Paid Life Insurance
• Employee Assistance Program (EAP)
• Behavioral Health Services

Savings and Retirement:

• 401 (k) Retirement Savings Plan
• Income Protection Insurance

Other Benefits:

• Vacation Time
• Company celebrations
• Employee Assistance Program
• Employee Referral Bonus
• Tuition Reimbursement
• License Renewal CEU Cost Reimbursement Program
• Business-casual working environment
• Sick days
• Paid holidays
• Mileage

Employers will consider for employment qualified applicants with criminal histories in a manner consistent with the requirements of the LA City Fair Chance Initiative for Hiring Ordinance.

Qualifications

Education:

• Bachelor's degree in Healthcare Administration, Business Administration, Finance, Public Health, or related field required.
• Master's degree (MBA, MHA, MPH, or related field) preferred.

Experience:

• Minimum 10 years of progressive healthcare network management, provider contracting, or managed care experience.
• Minimum 5 years of leadership experience managing provider contracting or network management teams.
• Experience working with IPAs, medical groups, health plans, ACOs, or other risk-bearing healthcare organizations.
• Extensive experience negotiating specialty physician, ancillary, and facility agreements.
• Demonstrated success managing capitated arrangements, specialty network performance, and medical cost initiatives.

Preferred Qualifications:

• Experience managing specialty physician networks in California.
• Knowledge of California healthcare regulations and delegated model operations.
• Experience with risk-bearing organizations, Medicare Advantage, Medi-Cal, and Commercial populations.
• Familiarity with value-based care programs and population health strategies.