VP Network Development

New York, New York, United States

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Not SpecifiedCompensation

Expert & Leadership (9+ years)Experience Level

Full TimeJob Type

UnknownVisa

Healthcare, Health InsuranceIndustries

Requirements

The ideal candidate will possess over 10 years of experience in recruiting and managing provider networks, including negotiating, reviewing, and amending contracts with hospitals, physicians, physician groups, and ancillary providers using various payment methodologies. Strong business acumen, innovation, independence, and confidence are key competencies. Proficiency in Google or MS Suite is required, with desired skills including the ability to make quick, independent decisions, mutually beneficial negotiation skills, attention to detail, financial report analysis, "big picture" thinking, understanding decision impacts on the network, and effective oral/written communication.

Responsibilities

The VP Network Development will be responsible for the development, maintenance, and management of an adequate provider network in an assigned geographic area. This includes maintaining relationships and performing all provider relations activities, negotiating and renegotiating contracts with all assigned provider types, and monitoring various reports to ensure compliance requirements are met. The role also involves reporting current status, risks, and potential opportunities to leadership, and supporting the overall Network Team to achieve success.

Skills

Network Development

Provider Network Management

Contract Negotiation

Contract Review

Contract Amendment

Hospital Contracting

Physician Contracting

Physician Group Contracting

Ancillary Provider Contracting

Payment Methodologies

Business Acumen

Provider Relations

Compliance

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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