Senior Director, Specialty Network Development

Senior Director, Specialty Network Development

Available in 5 locationsAvailable in 5 locations See allSee all

Senior Director, Specialty Network Development

Available in 5 locations

Atlanta, Georgia, United States of America

St. Petersburg, Florida, United States of America

Boston, Massachusetts, United States of America

Creve Coeur, Missouri, United States of America

Morristown, New Jersey, United States of America

Category: Client Services

widget: Full time

Job ID: JR111804

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Description

• At Zelis, we Get Stuff Done. So, let’s get to it!

• A Little About Us

• Zelis is modernizing the healthcare financial experience across payers, providers, and healthcare consumers. We serve more than 750 payers, including the top five national health plans, regional health plans, TPAs and millions of healthcare providers and consumers across our platform of solutions. Zelis sees across the system to identify, optimize, and solve problems holistically with technology built by healthcare experts – driving real, measurable results for clients.

• At Zelis, AI is woven into the fabric of how we work. Every associate is expected - and empowered - to partner with AI to challenge the status quo, accelerate innovation, and amplify their impact. This is a place for builders with a growth mindset who act with agility, embrace change, and use modern technology to shape smarter solutions, exceptional experiences, and the future of our industry for our clients, customers, and our culture.

• A Little About You

• You bring a unique blend of personality and professional expertise to your work, inspiring others with your passion and dedication. Your career is a testament to your diverse experiences, community involvement, and the valuable lessons you've learned along the way. You are more than just your resume; you are a reflection of your achievements, the knowledge you've gained, and the personal interests that shape who you are.

• Position Overview

• The Senior Director, Specialty Network Development leads the strategy, growth, and performance of Zelis’ specialty healthcare provider networks, including dental, vision, behavioral health, and other ancillary and complementary network segments. This role sets the multi-year vision for specialty network expansion and directs multiple teams and functions to build a diverse, cost-effective and access-rich provider ecosystem that supports Zelis clients across Commercial, Medicare Advantage, and other product lines.

• Operating as an internal subject matter expert with direct impact on business objectives, this leader defines department strategy, leads multiple complex programs and initiatives simultaneously, and drives resourcing and direction across subordinate directors and managers who own day-to-day execution. The role is approximately 60% strategic and 40% tactical, with erroneous strategic decisions carrying business impact that can extend beyond one year.

What you'll do

• Network Strategy & Growth

• Own the overall strategy, vision, and multi-year roadmap for building and expanding Zelis’ specialty healthcare networks — including dental, vision, behavioral health, and other ancillary and complementary care networks — to increase savings and access for Zelis clients.

• Cultivate the organization’s direct-contracted specialty provider assets to support multiple products and achieve corporate objectives for network viability and product performance.

• Establish strategic relationships across all specialty provider types, including large and key strategic groups and multi-site provider organizations, and serve as the primary resource for network partners across markets.

• Serve as the enterprise subject matter expert on Zelis specialty network products, representing network capabilities internally and with external partners, industry groups, and professional societies.

• Align network strategy with the Product team to ensure contracting goals support the long-term Network Solutions product roadmap; collaborate cross-functionally to define acceptance and launch criteria for new specialty network products.

• Ensure network and contracting strategy balances client access requirements with cost-savings objectives across all specialty lines of business.

• Contracting & Business Execution

• Direct and negotiate complex, high-value contracts across multiple specialty provider types and coach the contracting organization to drive network development efficiency.

• Execute corporate contracting strategy across multiple product lines, including Commercial, Medicare Advantage, and other emerging specialty product segments.

• Partner with business operations to define contract terms and educate key company personnel on the implications of those terms.

• Develop and communicate specialty network development goals, including target acquisitions, claim dollars captured, and revenue achieved, and build the tools needed to capture provider targets, measure performance, and report results and recommendations to the executive team.

• Team & Talent Leadership

• Lead a large team and manage people directly, driving and implementing talent strategies related to hiring, promotions, pay, performance assessment, and talent development, while identifying and cultivating high potential.

• Drive talent strategy broadly and provide people-related decisions that foster a diverse and inclusive environment; sponsor and actively participate in diversity strategy and execution across the department and the Enterprise.

• Role model success in the execution of talent systems such as performance management and development, and champion and promote diversity, inclusion, and wellness.

• Recruit, coach, and mentor the Network Development leadership team, building bench strength and succession depth across subordinate directors and managers.

• Innovation & Enterprise Impact

• Champion enterprise-wide AI transformation within network development, embedding AI into core