Director, Provider Network Operations
Morgan Consulting Resources, Inc. - Healthcare Executive Search, Houston, TX, United States
Overview
Morgan Consulting Resources, Inc. has been retained to confidentially search for a Director of Provider Network Operations for a Texas Department licensed Third Party Administrator (TPA) and Management Service Organization (MSO). This position will work on-site in Houston, TX. Relocation assistance is available for qualifying candidates. Scope and Impact:
This is a high-impact leadership opportunity at a growth-oriented, performance-driven organization. The Director of Provider Network Operations will shape and elevate the provider network strategy across the market — strengthening physician partnerships, advancing delegated performance, and building the infrastructure required for scalable expansion. It offers latitude to modernize provider engagement, refine contracting strategy, and position the network for long-term success. With the prior director retired, this is an open canvas to influence how the organization partners with physicians, performs with health plans, and scales for future growth. The impact is meaningful and visible, influencing market expansion, delegated performance, and the organization’s reputation as a premier physician-aligned partner. About the Position: The Director of Provider Network Operations provides strategic leadership for the evolution, performance, and long-term strength of the organization’s provider network across established and expansion markets. This role shapes network strategy, elevates physician partnerships, and ensures the infrastructure required to support scalable growth under delegated Medicare Advantage arrangements. It advances network development and performance improvement initiatives while refining contracting strategy, operational frameworks, and alignment with delegated expectations. As the organization grows, the network architecture must remain disciplined, adaptable, and positioned to support additional lines of business, including Medicaid, Exchange, and Commercial products. As a technology-enabled MSO, the Director champions the integration of advanced analytics and digital platforms to enhance provider engagement, operational efficiency, quality performance, and member experience. Success is defined by aligning provider network strategy with sustainable membership growth, total cost of care performance, delegated contract excellence, regulatory standards, and long-term financial strength. Key Responsibilities: Leadership, Budgeting & Strategic Planning Contract Implementation & Provider Engagement Network Growth & Value-Based Performance Technology Integration & Innovation Regulatory Compliance & Delegation Oversight Financial & Enterprise Performance Contribution Reporting & Cross-Functional Alignment Experience: Minimum five (5) years in a leadership role in provider network operations, managed care, IPA, or MSO settings. Minimum three (3) years of Medicare Advantage experience required; experience in delegated or global risk models strongly preferred. Demonstrated experience with: PCP recruitment and provider engagement Operational implementation of executed provider contracts Identification and strategic conversion of non-participating providers to aligned contracted partners Network adequacy planning and gap remediation Value-based performance alignment Ability to interpret financial and operational data to guide strategic decisions Strong executive presence and communication skills Qualifications: Bachelor’s degree in Healthcare Administration, Business, or related field required; Master’s degree preferred. Demonstrated understanding of PMPM, MLR, total cost of care, and risk-adjusted payment models. Knowledge of CMS Medicare Advantage regulations and NCQA standards. Excellent written and verbal communication skills. Proficiency in Google Workspace, Microsoft Office and performance reporting tools. Ability to manage sensitive and confidential information in accordance with HIPAA and applicable regulations. Culture & Equal Opportunity: This company fosters a collaborative, inclusive, and performance-driven culture grounded in respect, accountability, and innovation. The organization emphasizes teamwork, continuous improvement, and a professional work environment, with leaders expected to model these values and drive operational excellence. It is committed to equal access and opportunity in employment and the workplace, maintaining an inclusive environment free from discrimination. The successful director will receive a compelling compensation package with a strong performance-based bonus opportunity. Presented by
Erica Eikelboom, Principal Morgan Consulting Resources erica@morganconsulting.com
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Morgan Consulting Resources, Inc. has been retained to confidentially search for a Director of Provider Network Operations for a Texas Department licensed Third Party Administrator (TPA) and Management Service Organization (MSO). This position will work on-site in Houston, TX. Relocation assistance is available for qualifying candidates. Scope and Impact:
This is a high-impact leadership opportunity at a growth-oriented, performance-driven organization. The Director of Provider Network Operations will shape and elevate the provider network strategy across the market — strengthening physician partnerships, advancing delegated performance, and building the infrastructure required for scalable expansion. It offers latitude to modernize provider engagement, refine contracting strategy, and position the network for long-term success. With the prior director retired, this is an open canvas to influence how the organization partners with physicians, performs with health plans, and scales for future growth. The impact is meaningful and visible, influencing market expansion, delegated performance, and the organization’s reputation as a premier physician-aligned partner. About the Position: The Director of Provider Network Operations provides strategic leadership for the evolution, performance, and long-term strength of the organization’s provider network across established and expansion markets. This role shapes network strategy, elevates physician partnerships, and ensures the infrastructure required to support scalable growth under delegated Medicare Advantage arrangements. It advances network development and performance improvement initiatives while refining contracting strategy, operational frameworks, and alignment with delegated expectations. As the organization grows, the network architecture must remain disciplined, adaptable, and positioned to support additional lines of business, including Medicaid, Exchange, and Commercial products. As a technology-enabled MSO, the Director champions the integration of advanced analytics and digital platforms to enhance provider engagement, operational efficiency, quality performance, and member experience. Success is defined by aligning provider network strategy with sustainable membership growth, total cost of care performance, delegated contract excellence, regulatory standards, and long-term financial strength. Key Responsibilities: Leadership, Budgeting & Strategic Planning Contract Implementation & Provider Engagement Network Growth & Value-Based Performance Technology Integration & Innovation Regulatory Compliance & Delegation Oversight Financial & Enterprise Performance Contribution Reporting & Cross-Functional Alignment Experience: Minimum five (5) years in a leadership role in provider network operations, managed care, IPA, or MSO settings. Minimum three (3) years of Medicare Advantage experience required; experience in delegated or global risk models strongly preferred. Demonstrated experience with: PCP recruitment and provider engagement Operational implementation of executed provider contracts Identification and strategic conversion of non-participating providers to aligned contracted partners Network adequacy planning and gap remediation Value-based performance alignment Ability to interpret financial and operational data to guide strategic decisions Strong executive presence and communication skills Qualifications: Bachelor’s degree in Healthcare Administration, Business, or related field required; Master’s degree preferred. Demonstrated understanding of PMPM, MLR, total cost of care, and risk-adjusted payment models. Knowledge of CMS Medicare Advantage regulations and NCQA standards. Excellent written and verbal communication skills. Proficiency in Google Workspace, Microsoft Office and performance reporting tools. Ability to manage sensitive and confidential information in accordance with HIPAA and applicable regulations. Culture & Equal Opportunity: This company fosters a collaborative, inclusive, and performance-driven culture grounded in respect, accountability, and innovation. The organization emphasizes teamwork, continuous improvement, and a professional work environment, with leaders expected to model these values and drive operational excellence. It is committed to equal access and opportunity in employment and the workplace, maintaining an inclusive environment free from discrimination. The successful director will receive a compelling compensation package with a strong performance-based bonus opportunity. Presented by
Erica Eikelboom, Principal Morgan Consulting Resources erica@morganconsulting.com
#J-18808-Ljbffr