Vice President, Managed Care & Health Plan Integration (On-Site)

**** 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.

At NorthBay Health, we are guided by our values: Nurturing Care; Own It; Respect; Build Trust; and Hardwire Excellence. These principles lead us to our TRUE NORTH and inspire us to provide exceptional care. 

These values serve as the foundation of everything we do, guiding us to deliver individualized care with integrity and accountability. We are committed to fostering a culture of collaboration, where every team member is valued and empowered to contribute their best to the health and well-being of those we serve. 

This is an exciting time to join NorthBay Health.

As an independent, nonprofit health system north of the San Francisco Bay Area, in the Napa/Solano Region, we are expanding our footprint across Solano, Yolo, and Napa counties to meet the evolving needs of our communities. With two acute-care hospitals—including a Level II Trauma Center and a modern maternity unit with a Level III Neonatal Intensive Care Unit (NICU)—along with a comprehensive cancer center, multiple urgent care facilities, and a growing network of primary and specialty clinics, we are investing in the future of care across the region.

NorthBay Health we are home to advanced clinical programs and nationally recognized cardiovascular, neuroscience, and orthopedic services, as well as comprehensive surgical and outpatient specialties. Our commitment to excellence is reflected in our Magnet with Distinction designation for nursing (one of only 12 organizations nationwide) and recognition from U.S. News & World Report as “High Performing” in multiple clinical areas, including maternity care, heart failure, and stroke. NorthBay Medical Center has earned the High Performing designation in maternity care for four consecutive years.

As the only locally governed health system in the region, we remain deeply rooted in our communities while growing into a trusted regional healthcare leader. If you are seeking meaningful work, collaborative teams, and the opportunity to help shape the future of healthcare in Northern California, you will find it at NorthBay Health.

Join us with our commitment to excellence, to achieve our vision to be the trusted healthcare partner of choice for the communities we serve.

To learn more about NorthBay Health's benefits, diversity statement and community please visit