Senior Provider Network Manager
Devoted Health
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $110,000 - $140,000 per year
Job Level
About the role
- 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
- Support of overall Network Team as required to achieve success for Devoted Health
- Supporting assigned groups to improve performance in CMS STAR measures
- Travel will be necessary
Requirements
- 8+ 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
Benefits
- 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....
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
negotiating contractsprovider servicingCMS STAR measuresvalue based payment methodologiesrisk payment methodologies
Soft Skills
relationship managementcommunicationreportingproblem solving
Certifications
High School Diploma