Senior Provider Network Manager
Maven Clinic- Full Time
- Senior (5 to 8 years)
Candidates are required to possess 5+ years of experience in negotiating provider contracts, including physician/provider group contracts with multiple payment methodologies such as value-based/risk, and a high school diploma or equivalent. They should have experience in CMS STAR measures, relationships in the local market, and an unrestricted driver’s license.
The Provider Network Manager will be responsible for developing, maintaining, and managing an adequate provider network in assigned geographical area, maintaining relationships with providers, negotiating and renegotiating contracts, engaging subject matter experts and providers to improve performance, monitoring reports to ensure compliance, reporting on status and risks, and supporting the overall Network Team. They will also support assigned groups to improve performance in CMS STAR measures and exhibit innovation, independence, and confidence.
Medicare Advantage plans with personalized support
Devoted Health provides Medicare Advantage plans aimed at simplifying and making healthcare more affordable for seniors aged 65 and older. Their plans include services like provider and pharmacy searches, prescription drug coverage, and preventive care rewards. Members pay premiums for these plans, and the company may also receive government payments for managing Medicare benefits. What sets Devoted Health apart from competitors is their high level of customer service, featuring Devoted Health Guides who assist members in navigating their healthcare options and addressing common issues with traditional insurance. Additionally, they promote preventive care through the Devoted Dollars program, which rewards members for engaging in health activities. The goal of Devoted Health is to create a more compassionate and accessible healthcare experience for its members.