VP, Provider Network

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.

You will own how we structure provider agreements, improve unit economics, and expand access across the state. This includes working closely with actuarial and analytics teams to evaluate pricing, redesign contract models, and identify opportunities for growth. The ideal candidate brings deep experience in provider contracting and network development, strong relationships across the Wisconsin healthcare market, and a bias toward action.

This role reports to our President and follows a hybrid model, with 2–3 days onsite in our Milwaukee office or in‑market with providers when applicable.

Primary Responsibilities

• 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.

Required 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.

Other Important Details

Compensation

• Base salary range: $150,000.00 to $190,000.00 annually, depending on experience.
• Benefits: medical, dental, vision, HSA with company contribution, 401k/Roth with company match, 15 days of PTO, and more.

Hybrid Work

• 2–3 days onsite in our Milwaukee office or in‑market with providers when applicable.

Equal Opportunity & Workplace Environment

• We are an equal opportunity employer and are committed to fostering an inclusive workplace where all employees can thrive. We consider applicants for employment without regard to race, color, religion, sex, national origin, age, disability, veteran status, or any other protected characteristic under applicable law. Reasonable accommodations will be provided to qualified individuals with disabilities throughout the hiring process and during employment.
• This role is primarily performed in a professional office environment and typically involves working at a desk using a computer, phone, and other standard office equipment. The position requires regular communication with colleagues and stakeholders through phone, video, and written channels, as well as the ability to perform work using a computer. The role may also involve occasional movement around the office. Additional hours may occasionally be required to support key projects or business needs.