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)

Account Executive, Mid Market
277 days ago

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

Senior or Staff Frontend Engineer - React
367 days ago

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

Enterprise Account Executive
368 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)
345 days ago

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

Clinical Care Navigator
368 days ago

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

Business Analyst
334 days ago

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

Technical Writer - Security
350 days ago

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

Principal SEO
294 days ago

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

Manager, Communications - People Team
368 days ago

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

HR Business Partner
358 days ago

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

Software Developer
299 days ago

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

Technical SEO Strategist
351 days ago

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

Healthcare Customer Service Representative
355 days ago

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

Account Executive
352 days ago

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

Senior Product Manager
351 days ago

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

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

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

Software Engineer, Platform
369 days ago

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

Customer Experience and Insights Manager, Enterprise
356 days ago

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

Software Engineer
257 days ago

Nelnet Business Services (NBS), a division of Nelnet, Inc., provides payment technology, education services, a...

Technical Consultant - MST or PST
180 days ago

PerfectServe offers best in KLAS assets in three categories: clinical communications, scheduling, and patient ...

Enterprise Account Executive
353 days ago

Density’s mission is to measure and improve our footprint on the world. We help companies understand how th...

Data Analyst
156 days ago

Today, we are working with businesses from various parts of the world, including North America, Western Europe...

Educational Sales Coordinator
352 days ago

Varsity Tutors is looking for Educational Sales Coordinators to join our team! Varsity Tutors is revolutionizi...

Senior Software Engineer - Backend
356 days ago

When hiring, we look for candidates who can thrive in our culture of trust, feedback, and rapid growth. We bel...