Vice President, Head of Provider Networks (Irvine)

Vice President, Head Of Provider Networks

The Vice President, Head of Provider Networks provides strategic and operational leadership for the Behavior and Therapy Provider Networks within Autism Services. This role ensures the delivery of high-quality, compliant, and cost-effective care across diverse regions, while driving innovation and sustainable growth. This role collaborates closely with the VP, Head of Clinical Services and the VP, Head of Clinical Operations to align clinical excellence with operational efficiency, optimize network performance, and enhance service access. Through strategic partnerships, data-informed decision-making, and cross-functional collaboration, the VP, Head of Provider Networks advances integrated care models and fosters a culture of accountability, adaptability, and continuous improvement.

Compensation ranges from $195,000 - $254,000 annually.

Responsibilities

• Provides executive oversight of the Behavior and Therapy Provider Networks, ensuring alignment with organizational mission, clinical standards, and strategic priorities.
• Leads enterprise-wide initiatives to optimize network performance, access, and service delivery across cross-functional departments (Finance, IT, PS, etc.) in diverse geographic regions.
• Partners with clinical and operational leadership to co-design initiatives that enhance provider performance, care quality, and service efficiency.
• Develops and manages multi-million dollar budgets, driving financial sustainability through strategic contract rate negotiations, cost containment, and revenue optimization.
• Oversees the financial health of the provider networks, ensuring budgets are strategically developed, closely monitored, and effectively managed. Programs should be maximizing revenue streams, controlling costs, and optimizing resource allocation to support long-term financial stability and mission-driven outcomes.
• Oversees financial strategy for provider networks, aligning budgetary planning, contract negotiations, and reimbursement models to support sustainable growth and mission-driven outcomes.
• Cultivates strategic partnerships and alliances to expand service reach, enhance care coordination, and support innovation.
• Partners with leadership team to define and implement long-term strategic plans, growth initiatives, and service innovations.
• Monitors and evaluates program effectiveness, patient outcomes, and service quality.
• Oversees complex vendor contracting and re-negotiation processes, ensuring favorable terms, risk mitigation, and service continuity.
• Champions quality assurance by overseeing clinical audits, performance metrics, and continuous improvement initiatives.
• Ensures adherence to legal and ethical standards. This includes industry regulations, ESSC policies, and ethical conduct within the workplace. Foster a culture of Compliance, Ethics, and Integrity within the organization.
• Leads talent strategy for the service area, including executive coaching, succession planning, and organizational development.
• Uses data analytics and evidence-based models to inform decision-making and continuous improvement.
• Facilitates training and professional development for network staff.
• Drives cultural and operational transformation through change management, data-driven decision-making, and cross-functional collaboration.
• Represents Autism Services in high-level stakeholder engagements, including with payors, providers, families, and community partners.
• Drives measurable improvements in provider performance, access, and participant outcomes through data-informed strategies.
• Demonstrates adaptability in navigating complex challenges and evolving healthcare landscapes, maintaining strategic focus under pressure.
• Leads initiatives that result in increased provider satisfaction, reduced service gaps, and improved care coordination.
• Resolves escalated client and associate concerns and grievances with a focus on empathy, accountability, and service recovery.
• Ensures adherence to legal and ethical standards. This includes industry regulations, ESSC policies, and ethical conduct within the workplace. Foster a culture of Compliance, Ethics, and Integrity within the organization.

Qualifications

Education

Experience

Knowledge, Skills, and Abilities