Provider Network Manager (Kentucky)

Overview
Job Description

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. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology  to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we’ve grown fast and now serve members across the United States.  And we’ve just started. So join us on this mission!

A bit about this role:

This is a key in our organization. The role will be responsible for network development and management along with servicing for an assigned geographic area. The ideal candidate will possess 5+ years experience in recruiting and managing provider networks along with negotiating, reviewing and amending contracts. This experience will include thorough knowledge of contracting with physicians and physician groups, integrated delivery systems, health systems, and ancillary providers using various payment methodologies including fee-for-service and value based / risk. Ideally, the candidate will possess a very high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences. Innovation, independence and confidence are key competencies that need to be exhibited.

Responsibilities will include:

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

Attributes to success:

  • 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…Understanding impacts of decisions on network as a whole
  • Extremely effective oral/written communication skills

Required skills and experience:

  • 5+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based/risk
  • 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 your eligibility and capability to fulfill the driving responsibilities associated with the position

Salary range: $57,000 – $120,000 annually

Healthcare equality is at the center of Devoted’s mission to treat our members like family.  We are committed to a diverse and vibrant workforce.  If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.

Our Total Rewards package includes:

  • Employer sponsored health, dental and vision plan with low or no premium
  • Generous paid time off
  • $100 monthly mobile or internet stipend
  • Stock options for all employees
  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles
  • Parental leave program
  • 401K program
  • And more….

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

The salary and/or hourly range listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, years of relevant experience, education, credentials, budget and internal equity).

Receive jobs from , on your whatsapp

Stay up to date with job opportunities, directly on your WhatsApp!
Receive instant notifications about the latest job openings in your region

Anúncio

Related Jobs

Related Jobs to Provider Network Manager (Kentucky)

Clinical Care Navigator
392 days ago

Lyra is transforming mental health care through technology with a human touch to help people feel emotional...

Software Developer
323 days ago

AccuWeather is recognized and documented as the most accurate source of weather forecasts and warnings in the ...

Senior or Staff Frontend Engineer - React
391 days ago

We’re looking for an experienced full-time (or part-time) Frontend Software Engineer to join our engin...

Account Executive, Mid Market
301 days ago

We are looking for a seasoned Mid-Market Account Executive to continue driving LeadIQ’s suite of capabilitie...

Principal SEO
318 days ago

We are looking for a Principal SEO to guide the strategy for the company’s organic growth. This role involve...

Enterprise Account Executive
392 days ago

From the very beginning, SugarCRM had a unique vision: to offer a different kind of Customer Relationship Man...

Freelance English Transcriptionist (AMER/EMEA)
369 days ago

We are seeking a skilled and experienced Freelance Transcriptionist to join our team. As a Freelance Transcrip...

Business Analyst
358 days ago

Piper Companies is seeking a Business Analyst to join a global investment company out of Wayne, PA. This...

Account Executive
376 days ago

Adentro was created to solve one of the most important problems in the modern economy—the majority of consu...

HR Business Partner
382 days ago

Headway’s mission is a big one – to build a new mental health care system everyone can access. We’v...

Technical Writer - Security
374 days ago

We are looking for a Technical Writer to join our tech client’s commercial enterprise services team and wr...

Manager, Communications - People Team
392 days ago

We are seeking a dynamic and experienced Communication Manager to join our team and lead all internal team mem...

Data Analyst
296 days ago

The Data Analyst will design, develop and validate reports and metrics to measure business performance across ...

Software Developer
Software Developer
336 days ago

At PNC, our people are our greatest differentiator and competitive advantage in the markets we serve. We are a...

Sr. Product Designer - Ad Products & Monetization
346 days ago

We are seeking a Senior Product Designer to become an integral part of our Ad Products & Monetization team...

Back-end Developer (Node.js)
366 days ago

The IT сompany Andersen invites a Back-end Developer (Node.js) to work on a large-scale project for our USA ...

Technical SEO Strategist
375 days ago

Ferguson is North America’s leading value-added distributor across residential, non-residential, new constru...

Healthcare Customer Service Representative
379 days ago

We’re obsessed with growth. From enabling companies to flourish, to helping careers bloom. SupportNinja wa...

Medical Communications Designer
392 days ago

We are seeking a talented and creative Medical Communications Designer to join our pharmaceutical industry cli...

Client Success Manager
382 days ago

Degreed is the upskilling platform that connects learning to opportunities. We integrate everything people us...

Senior Product Manager
375 days ago

Are you passionate about building products from scratch? Are you ready to manage a product that influences h...

Business Development Manager
367 days ago

Buying a used car has been essentially the same for 75 years: what’s the mileage, what’s the vehicle histo...

Customer Experience and Insights Manager, Enterprise
380 days ago

Upwork ($UPWK) is the world’s work marketplace. We serve everyone from one-person startups to large, Fortune...

Software Engineer, Platform
393 days ago

Branch is on a mission to help working Americans grow financially. We do this by helping companies accelerate ...