VP, National Provider Network Management
HumanaSalary not specified
- Full Time
- Senior (5 to 8 years)
$240,000 – $290,000Compensation
Expert & Leadership (9+ years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Health Insurance, Managed CareIndustries
Requirements
Candidates should possess 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 knowledge of contracting processes and various payment methodologies is required, along with the ability to navigate Google or MS Suite of products.
Responsibilities
This role involves the development, maintenance, and management of an adequate provider network within an assigned geographical area, maintaining relationships with providers, negotiating and renegotiating contracts, monitoring compliance reports, reporting on network status and risks to leadership, and providing support to the overall Network Team to achieve Devoted Health’s success.
Skills
Provider Contracting
Negotiation
Compliance
Provider Relations
Healthcare Contracting
Payment Methodologies
Google Suite
MS Office
Network Development
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.
Key Metrics
Waltham, MassachusettsHeadquarters
2017Year Founded
$2,194.5MTotal Funding
SERIES_ECompany Stage
HealthcareIndustries
1,001-5,000Employees