Habitat Health

Network Manager

Habitat Health

full-time

Posted on:

Location Type: Remote

Location: United States

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Salary

💰 $106,000 - $121,000 per year

About the role

  • The Network Manager is responsible for the strategic development, execution, and ongoing management of Habitat Health’s provider network across assigned markets and service lines.
  • This role translates organizational network strategy into operational execution while ensuring that the provider network supports comprehensive service delivery, regulatory compliance, and high quality participant care within the PACE model.
  • The Network Manager oversees provider contracting, provider recruitment, onboarding, and ongoing provider relationship management while ensuring that contracted providers are successfully integrated into Habitat Health’s operational and clinical workflows.
  • This role serves as a senior liaison between Habitat Health leadership, center operations, and external provider organizations and is responsible for ensuring that contractual terms, regulatory expectations, billing requirements, credentialing standards, and care coordination processes are consistently implemented across the network.
  • In addition to direct provider engagement, the Network Manager is responsible for overseeing network adequacy planning, supporting market expansion initiatives, guiding complex contract negotiations, and managing internal network development processes.
  • Drafting, negotiating, and managing provider contracts, amendments, single case agreements, and letters of agreement for traditional and non-traditional providers required to support a comprehensive PACE network.

Requirements

  • Bachelor’s degree in healthcare administration, business administration, public health, or a related field required.
  • Master’s degree in healthcare administration, public health, business administration, or related discipline preferred.
  • Minimum 6 to 8 years of experience in provider contracting, network development, managed care, or health plan operations.
  • Demonstrated experience leading healthcare provider contract negotiations and managing provider networks within a managed care, integrated delivery, or value based care environment.
  • Strong understanding of Medicare and Medicaid reimbursement methodologies, provider billing practices, and managed care contracting structures.
  • Experience developing and managing provider networks that support multi service care delivery models.
  • Working knowledge of regulatory and compliance requirements related to provider participation within Medicare or Medicaid programs.
  • Proven ability to manage multiple provider relationships, contracts, and operational priorities across complex healthcare markets.
  • Strong written and verbal communication skills with the ability to translate contractual and regulatory requirements into operational guidance.
  • Demonstrated ability to build and maintain strategic relationships with health system leaders, community providers, and internal stakeholders.
  • Strong analytical and organizational skills with proficiency in Microsoft Excel, Word, and provider network management tools.
  • Ability to operate effectively in a rapidly growing organization and lead initiatives within evolving operational environments.
Benefits
  • Medical/dental/vision insurance
  • Short and long-term disability
  • Life insurance
  • Flexible spending accounts
  • 401(k) savings
  • Paid time off
  • Company-paid holidays
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
provider contractingnetwork developmentmanaged carehealth plan operationsMedicare reimbursement methodologiesMedicaid reimbursement methodologiesprovider billing practicescontract negotiationsregulatory compliancevalue based care
Soft Skills
leadershipcommunicationrelationship managementanalytical skillsorganizational skillsstrategic thinkingnegotiationproblem solvingadaptabilitycollaboration
Certifications
Bachelor’s degree in healthcare administrationMaster’s degree in healthcare administration