Director, Network Management
Alignment Health
full-time
Posted on:
Location Type: Remote
Location: North Carolina • United States
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Salary
💰 $109,932 - $164,899 per year
Job Level
About the role
- Responsible for meeting the network management needs for assigned geography and/or health delivery networks
- Working closely with the regional executive teams, and leading the market’s clinical performance activity
- Offers technical leadership and expertise to both regional and corporate initiatives
- Oversees Regional Performance of Network
- Leads and facilitates join operations committee meetings (JOC)
- Reviews, analyzes and develops strategies based on historical performance data
- Trains and manages direct reports to capture and document provider interactions
- Collaborates with regional executive team and other departments to ensure contracted network support of operating goals
Requirements
- Minimum 10 years of experience in managed care or health care field
- Solid understanding of reimbursement methodologies, contract language, negotiation strategies, financial modeling and analysis
- Minimum 5 years of experience with delegated and non-delegated providers
- Minimum 2 years of supervisory experience
- High School Diploma or GED
- Bachelor's degree or four years additional experience in lieu of education
- MBA preferred
- Excellent knowledge of hospitals and managed care finance and contracts
- Solid knowledge of Medicare managed care and associated contract language
- Proven ability to foster collaboration and value others perspective
- Excellent Microsoft Office skills, including Word and Excel
- Effective written and oral communication skills
- Ability to prioritize multiple tasks and use advanced reasoning
- Ability to perform mathematical calculations and calculate simple statistics correctly.
Benefits
- Health insurance
- 401(k) matching
- Flexible work hours
- Paid time off
- Remote work options
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
reimbursement methodologiescontract languagenegotiation strategiesfinancial modelingfinancial analysismanaged care financeMedicare managed caremathematical calculationsstatistical analysis
Soft Skills
collaborationleadershipcommunicationprioritizationreasoningtrainingmanagement
Certifications
High School DiplomaGEDBachelor's degreeMBA