This is a key role in our organization responsible for network development and management along with servicing for an assigned geographic area. The ideal candidate will possess 5+ years experience in recruiting and managing provider networks along with negotiating, reviewing and amending contracts.
Requirements
- Development, maintenance and management of an adequate provider network in assigned geographical area
- Negotiating and renegotiating contracts with providers as assigned
- Engage internal subject matter experts and providers to identify opportunities to improve provider / member cost and quality performance
- Monitoring of various reports to insure all necessary compliance requirements are met and maintained
- Reporting to leadership current status, risks, and potential opportunities in area of responsibility on a regular basis
- Supporting the overall Network Team as required to achieve success for Devoted Health
- Supporting assigned groups to improve performance in CMS STAR measures
Benefits
- Employer sponsored health, dental and vision plan with low or no premium
- Generous paid time off
- $100 monthly mobile or internet stipend
- Stock options for all employees
- Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
- Parental leave program
- 401K program