Devoted Health

Provider Network Manager

Arizona, United States

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Not SpecifiedCompensation
Junior (1 to 2 years)Experience Level
Full TimeJob Type
UnknownVisa
HealthcareIndustries

Position Overview

  • Location Type: Remote (Must reside in Arizona)
  • Job Type: Full-time
  • Salary: $80,000 - $100,000 / year

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. We are building a new kind of all-in-one healthcare company that combines compassion, health insurance, clinical care, service, and technology to deliver a complete and integrated healthcare solution. Founded in 2017, we serve members across the United States.

This key role is responsible for network development and management, along with servicing for an assigned geographic area. The ideal candidate will possess strong business acumen, innovation, independence, and confidence.

Responsibilities

  • Development, maintenance, and management of an adequate provider network in the assigned geographical area.
  • Maintaining relationships and all provider relations activities in the assigned geographical area.
  • Negotiating and renegotiating contracts with providers as assigned.
  • Engaging internal subject matter experts and providers to identify opportunities to improve provider/member cost and quality performance.
  • Monitoring various reports to ensure all necessary compliance requirements are met and maintained.
  • Reporting to leadership on current status, risks, and potential opportunities in the 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.

Requirements

  • 5+ years of experience in recruiting and managing provider networks.
  • 5+ years negotiating provider contracts, including physician/provider group contracts with multiple payment methodologies (fee-for-service and value-based/risk).
  • Thorough knowledge of contracting with physicians, physician groups, integrated delivery systems, health systems, and ancillary providers.
  • 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 license to verify eligibility and capability for driving responsibilities.

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 and understanding the impact of decisions on the network as a whole.
  • Extremely effective oral/written communication skills.

Company Information

Devoted Health is a fast-growing healthcare company founded in 2017, dedicated to improving the health and well-being of older Americans by providing integrated healthcare solutions.

Skills

Provider Network Management
Contract Negotiation
Provider Relations
Healthcare Contracting
Business Acumen
Network Development
Healthcare Payment Methodologies
Relationship Management

Devoted Health

Medicare Advantage plans with personalized support

About Devoted Health

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.

Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees

Benefits

Comprehensive health plan
401(k) retirement plan
Generous vacation and holiday time
Lyra mental health resources
Time off to vote

Risks

Increased competition from Medicare Advantage providers like Clover Health and Oscar Health.
Potential regulatory changes affecting Medicare Advantage plans by CMS.
Rising healthcare costs could impact the affordability of Devoted Health's plans.

Differentiation

Devoted Health offers personalized assistance through Devoted Health Guides for member support.
The company emphasizes preventive care with its Devoted Dollars rewards program.
Devoted Health integrates virtual and in-home care with top local providers.

Upsides

Devoted Health raised $287 million in Series E funding in 2024.
The company expanded Medicare Advantage plans to eight new states in 2023.
Devoted Health achieved a 5-star Medicare Advantage rating in Ohio in 2023.

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