Director, Market Enablement

Your Role

The Network Strategy & Provider Partnerships team is responsible for developing and executing network strategies that support growth, market expansion, product innovation, affordability, and provider performance. The Director, Market Enablement will report to the Senior Director, Network Strategy and serves as a key leader responsible for enterprise network planning and implementation across Commercial, Medicare, Medi-Cal, and Individual & Family Plan (IFP) businesses. You will excel at translating strategic direction into execution plans, coordinate complex cross-functional workstreams, and deliver enterprise results through influence and collaboration.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow – personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Work In this role, you will:

Execute Network Strategy & Planning Execute enterprise network strategies across Commercial, Medicare, Medi-Cal, and IFP lines of business

Manage implementation plans, milestones, and workstreams supporting multi-year network roadmaps

Gather market, provider, and stakeholder insights to support strategic planning and execution

Drive alignment between network strategy and enterprise growth objectives

Strategize Provider Renewal & Contracting Coordinate and execute enterprise provider contracting and renewal playbooks

Implement provider segmentation, prioritization, and negotiation frameworks

Develop strategies for key provider package renewals and enterprise network investments

Monitor provider market dynamics and competitive trends to inform strategic decisions

Collaborate closely with Network Contracting leadership on enterprise contracting priorities

Enable Product & Line-of-Businesses Serve as the Network Strategy implementation lead for: Commercial Products

Medicare Advantage

Medi-Cal

Individual & Family Plan (IFP)

Dual Eligible Programs

Ensure network readiness for new product introductions and benefit designs

Support enterprise product launches and market entry initiatives

Partner with Product leaders to align network capabilities with product strategies

Coordinate implementation activities across business lines

Lead Market Expansion & Network Readiness Implement network strategies supporting service area expansion across all lines of business

Lead market readiness planning to meet product, operational, and regulatory requirements

Partner with regional and market leaders to ensure network adequacy and provider access

Develop scalable implementation frameworks for new market entry

Coordinate network expansion efforts supporting enterprise growth objectives

Execute Strategic Programs Lead implementation and readiness activities supporting: Next-generation products

Medicare growth strategies

Medi-Cal expansion efforts

IFP growth initiatives

Regulatory and market-entry programs

Enterprise growth priorities

Develop Centers of Excellence (COE) Transplant Programs Support development and implementation of transplant-focused Centers of Excellence

Coordinate cross-functional implementation plans

Monitor network performance, access, and member outcomes

Partner with Network Contracting to support provider relationships and performance

Cell & Gene Therapy Develop provider network frameworks supporting emerging therapies

Create reimbursement and access strategies

Partner with Clinical and Pharmacy teams to establish care delivery models

Support enterprise readiness for new treatment modalities

Pharmacy Reimagined Drive collaboration across Network, Pharmacy, and Clinical teams

Develop implementation plans with providers and internal stakeholders

Support initiatives improving affordability, access, and clinical outcomes

Serve as a strategic cross-functional liaison

Serve as liaison with multiple teams such as: Network Strategy, Network Contracting, Health Quality & Affordability (HQA), Product Development, Provider Partnerships, Finance, Medicare, Medi-Cal, Commercial Markets, etc. Execute highly matrixed initiatives requiring enterprise-wide alignment

Influence executive stakeholders and support enterprise decision-making

Facilitate governance and communication across key business functions

Drive accountability for strategic initiative execution and outcomes

Your Knowledge and Experience

Requires a Bachelor’s degree or High School Diploma/GED and 4 years of additional relevant experience in lieu of a degree. Master’s degree in Business Administration, Healthcare Administration, Public Health, Nursing, or related field is preferred

Requires 10 years of prior relevant healthcare industry experience, including experience within health plans, network management, provider contracting, or product strategy. Experience supporting network expansion, market growth, and product implementation initiatives

Requires 6 years of prior people management experience with direct responsibility for supervising, coaching, and evaluating direct reports

Experience supporting regulatory programs and market expansion initiatives is preferred

Experience developing enterprise operating models and implementation frameworks is preferred

Proven success leading large-scale strategic initiatives and business cases

Demonstrated success leading highly matrixed, cross-functional organizations

Strong knowledge of provider reimbursement, contracting, network adequacy, and healthcare market dynamics

Deep understanding of Commercial, Medicare, Medi-Cal, and Individual Marketplace businesses

Knowledge of specialty care delivery models, including Transplant Services, Cell and Gene Therapy, and Specialty Pharmacy programs is preferred

Strong analytical, financial, strategic planning, and executive communication skills

Hybrid

This role requires employees to be in-office based on our hybrid workplace model, balancing purposeful in-person collaboration with flexibility. For most teams, this means coming into the office two days each week.

Employees living more than 50 miles from an office location will work with their manager to determine in-office time based on business need.