Vice President, Network & Market Growth

JOB PURPOSE AND SUMMARY:

The Vice President of Network & Market Growth is a senior enterprise leader responsible for driving delegated network expansion, market development, and sustainable revenue growth across priority regions. This role serves as a strategic and operational leader for payer partnerships, provider network development, and fee-for-service (FFS) growth initiatives.

The VP will play a critical role in advancing the organization’s long-term growth strategy by expanding market presence, strengthening payer and provider relationships, and ensuring strong performance across value-based and traditional reimbursement models.

ESSENTIAL DUTIES AND RESPONSBILITIES:

• Lead the development and execution of regional and national growth strategies, including delegated risk arrangements, joint ventures, and FFS expansion.
• Identify, evaluate, and execute new market entry opportunities, including provider partnerships and network expansion initiatives.
• Build and maintain senior-level relationships with payers, health systems, and large physician groups to advance strategic growth objectives.
• Oversee Provider Relations and Market Growth teams responsible for local execution, provider performance, and relationship management.
• Drive performance across delegated networks by reducing leakage, optimizing medical loss ratio (MLR), and ensuring utilization management and compliance standards are met.
• Partner with Finance, Medical Economics, Operations, and Analytics to forecast growth, evaluate performance, and support data-driven decision-making.
• Lead market-level performance reviews and implement corrective action plans where needed.
• Represent the organization in payer negotiations, industry forums, and external partnerships.
• Collaborate with the Senior Director of Growth Strategy & Analytics to prioritize markets, allocate resources, and align growth initiatives with enterprise strategy.
• Live and exemplify TOI core values, providing outstanding customer service and promoting a positive experience for patients and staff members.

KNOWLEDGE, SKILLS, AND ABILITIES:

• Deep expertise in value-based care models, delegated risk arrangements, and healthcare reimbursement.
• Proven success in payer contracting, provider network development, and market expansion.
• Strong financial acumen, including experience with capitation models, MLR optimization, and performance analytics.
• Ability to lead and influence cross-functional teams in a matrixed environment.
• Strong executive presence, negotiation skills, and communication capabilities.
• Strategic thinker with the ability to translate strategy into execution.
• Comfortable operating in a fast-paced, growth-oriented environment.

REQUIRED EXPERIENCE, EDUCATION AND/OR TRAINING:

• Bachelor’s degree required; MBA, MHA, or equivalent advanced degree preferred.
• 10+ years of progressive leadership experience in healthcare, with a focus on value-based care, payer contracting, or network development.
• Demonstrated success leading multi-market growth initiatives and managing complex stakeholder relationships.
• Experience with delegated risk models, capitation, and payer-provider contracting.
• Willingness to travel up to 60–70% of the time.