Director, Network Management
New
Remote work flexibility within the United StatesFull-TimeDirector
Salary not disclosed
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Job Details
- Experience
- 5+ years
- Required Skills
- Data AnalysisMicrosoft Office Suite
Requirements
- Bachelor’s degree in Finance, Economics, Healthcare Administration, Business, or related field (MBA/MHA preferred).
- 5+ years of experience in provider contracting, network management, or managed care negotiations.
- Strong knowledge of reimbursement methodologies, including value-based and incentive-based models.
- Proven experience managing and developing provider relationships.
- Strong financial acumen with ability to analyze contract performance and pricing structures.
- Excellent negotiation, communication, and presentation skills.
- Experience working in a matrix organization with cross-functional collaboration.
- Strong problem-solving and decision-making abilities.
- Leadership experience, including mentoring or managing teams (preferred).
- Proficiency in Microsoft Office Suite.
Responsibilities
- Lead complex provider contracting and negotiations for fee-for-service and value-based reimbursement arrangements.
- Develop and execute network strategies that support market competitiveness and value-based care expansion.
- Build and maintain strong relationships with provider partners.
- Serve as the primary point of contact for high-complexity contracting projects.
- Collaborate across internal matrix teams to ensure successful contract implementation.
- Analyze and evaluate financial and clinical data to support contract negotiations.
- Drive initiatives to improve total medical cost and quality outcomes.
- Oversee contract lifecycle activities, including financial modeling and issue resolution.
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