The Network Development Manager manages, negotiates and develops contract agreements with high value healthcare providers and delivery systems. This role is instrumental in executing standard agreements, letters of agreements to potential providers for the strategic development of the provider network.
Requirements
- Manage complex contracting and negotiations for fees for service and value-based reimbursements with hospitals and other providers
- Build relationships that nurture partnerships and seek broader value-based business opportunities to support the local market strategy
- Initiate and maintain effective channels of communication with internal partners
- Manage strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements
- Contribute to the development of alternative network initiatives
- Supports and provides direction to develop network analytics required for the network solution
- Work to meet contracting targets (adequacy, accessibility, medical cost spend, etc.), while preserving an adequate network, to achieve and maintain Company's competitive position
- Prepare, analyze, review, and project financial impact of larger or complex provider contracts and assesses alternate contract terms
- Manage key provider relationships and is accountable for critical interface with providers and business staff
- Demonstrate knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
Benefits
- 100% paid Medical for employees/99% for family
- Generous employer Health Savings Account (HSA) contributions
- Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
- 6 weeks of paid parental leave (for both mom and dad)
- Dental - two plans to choose from
- Vision
- Short-term Disability
- Accident, Critical Illness, Hospital Indemnity
- 401(k) – up to 4% match on ROTH or Traditional contributions
- Generous paid-time off and 11 paid holidays
- Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo
- Employee Assistance Program including no cost, in-person mental health visits and employee discounts
- Monetary Anniversary Awards Program
- Monetary Birthday Awards
