Devoted Health

Provider Network Manager

Devoted Health

full-time

Posted on:

Origin:  • 🇺🇸 United States • Kentucky

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Salary

💰 $80,000 - $100,000 per year

Job Level

Mid-LevelSenior

About the role

  • Devoted Health mission: dramatically improve the health and well-being of older Americans by caring for every person like family
  • 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 ensure 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 and supporting assigned groups to improve performance in CMS STAR measures

Requirements

  • 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 eligibility and capability for driving responsibilities
  • 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 and understanding impacts of decisions on network as a whole
  • Extremely effective oral and written communication skills