VP of Provider Network (Wisconsin)

About the role

The VP of Provider Network is responsible for building, optimizing, and expanding HPS’s provider network strategy across Wisconsin. This is a hands-on leadership role where you will set strategy, but also execute directly on provider contracting, negotiations, and network expansion.

• Define and execute provider network strategy across the Wisconsin market.
• Identify and prioritize provider targets to expand network coverage across geographies and specialties.
• Lead negotiation and structuring of provider contracts, including rates, reimbursement models, and SLAs.
• Oversee network development staff in the development of provider networks in Wisconsin and partner with actuarial and provider relations teams to evaluate pricing, assess performance, and inform contracting strategy.
• Use data to identify cost-saving opportunities, renegotiation targets, and network gaps.
• Build and maintain strong relationships with hospitals, health systems, and independent providers.
• Partner with Provider Operations to resolve high-priority provider issues and improve network performance.
• Drive initiatives that improve unit economics, affordability, and network efficiency.
• In cases where full contracting isn’t feasible, prioritize and deliver alternative solutions (e.g., PayMedix) to maintain access and support network goals.

Qualifications

• Bachelor’s degree in Business Administration or Healthcare Administration required; a Master’s degree in either field is preferred.
• 10+ years of management level experience in provider network development.
• Proven track record of established relationships within the Wisconsin provider market (health systems, hospitals, independent providers).
• Proven experience driving unit cost improvements, negotiating provider agreements and pricing structures, with a strong understanding of health plan economics and network strategy.

Key Attributes for Success

• Delivers Outcomes: Drives measurable contracting results by using data, market insight, and strong execution to secure favorable terms, lower costs, and maintain network access.
• Relationship-Driven Operator: Builds and leverages trusted provider and stakeholder relationships to influence negotiations, unlock access, and move deals forward.
• Strategic and Driven: Defines clear network strategy while operating with urgency, ownership, and persistence to push initiatives through to execution and results.