• Design and lead the enterprise care routing strategy, aligning provider selection and referral pathways with organizational goals for quality, affordability, access, and member experience. • Define and maintain preferred network frameworks that segment providers based on performance, capacity, access, and clinical outcomes. • Establish clear, data-driven criteria for identifying high-performing providers while ensuring adequate access for members across geographies and specialties. • Own the development of network intelligence capabilities that integrate claims, utilization, clinical outcomes, access, and member demand data. • Evaluate network adequacy beyond regulatory compliance measures, assessing whether the network meaningfully meets member needs related to access, capacity, timeliness, specialty coverage, and care continuity. • Identify gaps, redundancies, or misalignments in the network that may impact care routing effectiveness or member experience. • Provide data-driven recommendations to adjust network composition, provider mix, or geographic coverage based on performance and access insights. • Design and embed care routing workflows within existing operational teams (e.g., UM, Care Management, Member Services, Provider Relations, Scheduling) to steer members to preferred providers while preserving access and choice. • Build, lead, and develop a small, high-performing team focused on network intelligence, care routing execution, and network adequacy analysis.