Provider Network Manager

Job Description

A bit about this role :

This is a key in our organization. The role will be 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.

This experience will include thorough knowledge of contracting with physicians and physician groups, integrated delivery systems, health systems, and ancillary providers using various payment methodologies including fee-for-service and value based / risk.

Ideally, the candidate will possess a very high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences.

Innovation, independence and confidence are key competencies that need to be exhibited.

Your Responsibilities and Impact will include :

Development, maintenance and management of an adequate provider network in assigned geographical area

Maintaining relationships and all provider relations activities 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

Required skills and experience :

5+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based / risk

Provider servicing experience

Solid ability to navigate either Google or MS Suite of products High School Diploma or equivalent minimum

Experience in CMS STAR measures

Experience and relationships in the local market

Unrestricted driver's licenseto verify your eligibility and capability to fulfill the driving responsibilities associated with the position

Desired skills and experience :

Ability to make quick, independent decisions

Mutually beneficial negotiation skills

Strong project management skills

Attention to detail

Ability to analyze financial and performance reports and identify trends / variances Big Picture thinking...Understanding impacts of decisions on network as a whole

Extremely effective oral / written communication skills

Salary : $57,000-90,000 / year

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package.

The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and / or from which they will be performing the job.

Our Total Rewards package includes :

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

And more....

Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business.

We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

Benefits

We strive to treat every Member like family and that mindset, applies to our teams too. Expect benefits that support your body,, mind, and well-being now and later.

Comprehensive health plan, 401K retirement plan, Generous vacation and holiday time, Lyra mental health resources, Stockoptions