Habitat Health is seeking a Manager, Network to lead the strategic development, execution, and ongoing management of the provider network across assigned markets and service lines. The role involves translating organizational network strategy into operational execution, ensuring provider network supports comprehensive service delivery, regulatory compliance, and high quality participant care within the PACE model.
Requirements
- Bachelor’s degree in healthcare administration, business administration, public health, or a related field required
- Master’s degree in healthcare administration, public health, business administration, or related discipline preferred
- Minimum 6 to 8 years of experience in provider contracting, network development, managed care, or health plan operations
- Demonstrated experience leading healthcare provider contract negotiations and managing provider networks within a managed care, integrated delivery, or value based care environment
- Strong understanding of Medicare and Medicaid reimbursement methodologies, provider billing practices, and managed care contracting structures
- Experience developing and managing provider networks that support multi service care delivery models
- Working knowledge of regulatory and compliance requirements related to provider participation within Medicare or Medicaid programs
Benefits
- Medical/dental/vision insurance
- Short and long-term disability
- Life insurance
- Flexible spending accounts
- 401(k) savings
- Paid time off
- Company-paid holidays