Vice President, Managed Care & Health Plan Integration (Onsite)

**** This position is being managed by Witt/Keifer, please contact Jennifer Sonneland,

At NorthBay Health, we are a rapidly expanding, physician-guided, integrated health system operating across multiple counties with multiple hospitals, 300+ employed/providers-aligned physicians, and significant ownership in a successful, growth-oriented regional health insurance plan. The health plan is a strategic differentiator that drives alignment, value-based performance, and margin.

SUMMARY

This is an executive role responsible for accelerating the profitable growth of our owned health plan, deepening payer relationships, and embedding the health system and health plan into the fabric of every community we serve.

This is a highly visible, enterprise-wide leadership position that combines traditional managed care contracting expertise with modern population-health strategy, product design, marketing, and community partnership development. This is a rare opportunity for a strategic, growth-oriented managed care executive to take a visible role in building one of the fastest-growing integrated health system/health plan combinations in the country.

KEY RESPONSIBILITIES

1. Health Plan Growth & Profitability
   • Lead/support membership growth strategy targeting commercial, Medicare MediCal/Partnership lines of business (goal: align with ANS growth strategy targets).
   • Oversee product design, pricing, network strategy, and benefit configuration in collaboration with actuarial, clinical, and sales teams.
   • Achieve and exceed annual medical loss ratio (MLR), administrative expense, and margin targets.
2. Managed Care Contracting & Payer Strategy
   • Negotiate and manage all external payer contracts (national, regional, and local plans) to maximize system reimbursement while protecting health plan competitiveness.
   • Serve as the enterprise expert on value-based contracting, bundled payments, and risk arrangements.
3. Community Awareness, Brand Integration & Market Expansion
   • Develop and execute a comprehensive community engagement and brand-integration strategy in conjunction with the Marketing Communication Team so that the health system and health plan are recognized as the preferred, local choice in every new and existing market.
   • Build strategic partnerships with large employers, chambers of commerce, school systems, FQHCs, faith-based organizations, and municipal governments.
   • Lead employer direct-to-employer (DTE) sales and narrow-network product launches.
4. Clinical & Financial Integration
   • Partner with Population Health, clinical leadership, and medical group presidents to hardwire clinical programs (chronic disease management, transitional care, behavioral health integration) that simultaneously improve health plan STAR/HEDIS performance and reduce system total cost of care.
   • Drive shared savings and risk-revenue performance across Medicare ACOs, MSSP, and commercial risk contracts.
5. Leadership & Team Development
   • Build and lead a lean, high-performing team (contracting, network development, provider relations, community engagement, health plan sales/support).
   • Serve as a key member of the system leadership team and prepare regular updates for the system board of directors.

1. Education:  Bachelor’s degree required; Master’s (MHA, MBA, MPH) strongly preferred.
2. Experience:  Ten to fifteen (10–15+) years progressive managed care leadership experience within a health system, health plan, or large medical group. Proven track record of growing a health insurance plan or major product line (membership and profitability). Deep expertise in value-based care contracting, payer negotiations, and risk arrangement design. Demonstrated success in employer sales, community partnership development, and brand-building in competitive markets. Experience with Medicare Advantage, Medicaid managed care, and commercial products. Current or prior P&L responsibility for a health plan or major business unit preferred. Experience launching narrow-network or direct-to-employer products preferred. Existing relationships with national and regional payers in our footprint preferred.
3. Skills:  Exceptional communication skills with experience presenting to boards, large employers, and community stakeholders.
4. Interpersonal Skills: Demonstrates the True North values. The True North values are a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at NorthBay Health. The True North values principles consist of Nurture/Care, Own It, Respect Relationships, Build Trust and Hardwire Excellence. 
5. Hours/ Work Specification:  A successful leader will live and serve in the geographic area of NorthBay Health. Full time, management exempt. Hours will vary according to work demands.  Willingness to travel 30–40% across current and expansion markets. Primary work location is corporate headquarters in Fairfield 
6. Compensation: $300-375k fixed base rate annually. In addition, This position is eligible for the variable compensation incentive.

Interpersonal Skills and Values

Demonstrates NorthBay Health’s True North Values: Nurture Care, Own It, Respect Relationships, Build Trust, and Hardwire Excellence. These values guide behavior, accountability, teamwork, and commitment to high-quality patient care.

Why NorthBay Health

NorthBay Health is an independent, nonprofit health system serving the Napa, Solano, and Yolo County regions. We are expanding access to care across our communities through two acute-care hospitals, including a Level II Trauma Center and a Level III NICU maternity unit, along with a cancer center, urgent care locations, and a growing network of primary and specialty care clinics.

We provide advanced services in cardiovascular care, neuroscience, orthopedics, surgery, and outpatient specialties. NorthBay Health is nationally recognized for quality care, including Magnet with Distinction designation for nursing and multiple U.S. News and World Report high performing recognitions.

We are committed to being the trusted healthcare partner of choice and offer an environment where employees can grow, contribute meaningfully, and support the health of our communities.

NorthBay Health Benefits Options

NorthBay Health offers a comprehensive benefits package based on established eligibility requirements. Benefits may include medical, dental, and vision insurance, life, disability, and long-term care coverage, paid time off including vacation, sick leave, holidays, and bereavement, a 403(b) retirement plan with employer match, education reimbursement for eligible roles, professional development and training programs, Employee Assistance Program, wellness programs, recognition programs, shift differentials, and market-based compensation review and increases subject to approval and organizational performance.

Compensation Structure

NorthBay Health uses a structured compensation framework. Staff-level positions use a step-based system (Steps 1–5) based on years of directly related experience, with Step 5 representing 20 or more years of experience in the role. Manager level and above positions are paid a fixed annual base salary and are eligible for a variable incentive compensation plan. Physician compensation is structured based on specialty and role requirements.

Remote Work Disclosure

NorthBay Health is primarily an onsite organization due to the nature of healthcare. Some roles may allow hybrid or remote work based on business needs.

Remote work is not supported in Washington, Ohio, Wyoming, North Dakota, Puerto Rico, the U.S. Virgin Islands, or outside of the United States.

Notice to Recruitment Agencies

NorthBay Health utilizes a managed service provider (MSP) for agency partnerships and is not currently engaging external recruiting firms outside of established agreements. We do not accept unsolicited resumes or third-party candidate submissions. Please do not contact NorthBay Health employees, leaders, physicians, or hiring managers regarding recruitment or job postings.

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