Director, Delivery System Engagement (DSE) Network Optimization Program Management

Job description

Reporting to the VP Network Optimization, the Director, DSE Network Optimization Program Management is responsible for leading and distilling large negotiation programs and into distinct projects that drive the efficiency of the Healthfirst Out-of-Network (OON) provider network performance through strategic planning, insight generation, and cross-functional alignment. This role serves as an advisor and integrator across A/R Optimization, Out-of-Network (OON) and Contracting Optimization functions. The role provides decision support, performance insights, governance structure, and execution visibility to ensure optimization efforts are cohesive and aligned to enterprise priorities across enterprise teams and Delivery System Engagement. The Director synthesizes data, identifies trends and risks, drives execution and supports leadership decision-making to improve cost of care, provider experience, and network competitiveness. Responsibilities: Develop and maintain the enterprise provider network optimization strategy and roadmap, aligned to organizational priorities. Provide structured recommendations, scenario framing, and trade-off analyses to inform decisions made by A/R, OON, and...