Provider Network Manager

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.