Manager, Network Management

Description

Join VillageMD as a Manager, Network Management in Fort Collins, CO.

Join the frontlines of today's healthcare transformation

Why VillageMD?

At VillageMD, we're looking for a Manager, Network Management to help us transform the way primary care is delivered and how patients are served.

As a national leader on the forefront of healthcare, we've partnered with many of today's best primary care physicians. We're equipping them with the latest digital tools.

Empowering them with proven strategies and support. Inspiring them with better practices and consistent results.

We're creating care that's more accessible. Effective. Efficient. With solutions that are value-based, physician-driven and patient-centered.

To accomplish this, we're looking for individuals who share our sense of excellence, are ready to embrace change, and never settle for the status quo.

Individuals who have the confidence to lead but the humility to never stop learning.

Integral to our team, the Manager, Network Management , based in Fort Collins, CO will develop VillageMD’s referral network (physicians, hospitals, pharmacies, ancillary groups & other facilities, etc.

yielding a high functioning network that supports value-based contract performance. Responsibilities also include establishing and maintaining strong business relationships with health plans and network providers to ensure the network composition includes an appropriate distribution of provider specialties.

What you might do in your first year :

• Strategically identify gaps in network composition and negotiate preferred contracts with Specialty Providers, Hospitals, Ambulatory Surgery Centers, Skilled Nursing Facilities, other Ancillary Providers, etc.
• Own the end to end contracting process including, but not limited to, using available technology and analytics to create contracts, negotiate financial and other business and legal terms, and implement final contract
• Develop optimal negotiation strategies and action steps to yield desired outcome
• Partner cross-functionally with corporate teams to leverage subject matter expertise around value based network management while driving market specific project plan
• Develop and foster meaningful relationships with community specialist providers and conduct frequent in-person focus visits with providers to drive stickiness and alignment to the VillageMD value based care model
• Design and implement programs that build / nurture positive relationships between VillageMD, the health plan, providers and practice managers;

serve as primary liaison between providers and VillageMD to resolve questions and issues as they arise

Implement training and development of providers through education programs to ensure compliance with VillageMD and health plan policies and procedure

What will make you successful here?

• Ability to be proactive with strong personal initiative as well as highly organized and detail oriented
• Desire to assist out-of-network recruitment and support other geographic areas as needed
• Openness to providing explanations and information to others on difficult issues
• Ability to navigate within ambiguity, a service orientation, and a high level of humility are vital for successful assimilation into our highly collaborative, entrepreneurial culture
• Excellent verbal and written communication skills; ability to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standards
• Strong interpersonal skills, establishing rapport and working well with other

What you bring to VillageMD :

• 5+ years of experience in a network management-related role handling complex provider negotiations with accountability for business results
• Undergraduate degree or equivalent work experience
• Strong knowledge of health care services industry and value-based contracting
• Knowledge of healthcare reimbursement methodologies such Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc..
• Must live within commutable distance of Fort Collins, CO

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families.

Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender / sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

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