Jefferson

Manager, Network Development

Jefferson

full-time

Posted on:

Location Type: Hybrid

Location: Philadelphia • Pennsylvania • 🇺🇸 United States

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Job Level

Mid-LevelSenior

About the role

  • Build and maintain a robust, competitive, compliant, and accessible provider network across current and expansion service areas
  • Oversee a team of network development specialists
  • Develop and implement network expansion strategies aligned with access standards and regional adequacy goals
  • Monitor and report on network adequacy and provider participation
  • Lead and manage a team to execute contracting and network development initiatives
  • Negotiate provider agreements with independent physicians, and other ancillary partners
  • Partner with internal areas to streamline provider onboarding
  • Collaborate with internal stakeholders to support growth strategies and expansion
  • Support annual readiness reviews, corrective action plans, audits, and RFP-related network development tasks
  • Foster strong provider relationships that support collaborative care

Requirements

  • Bachelor’s degree and/or master’s in healthcare administration, public health, or related field preferred
  • Minimum 5-7 years of experience in provider contracting, network development, or managed care required
  • At least 2 years of supervisory or team lead experience, with demonstrated ability to coach and manage staff
  • Deep understanding of Pennsylvania’s Medicaid, Medicare and/or Exchange requirements and provider landscape
  • Proven track record of successful provider negotiations, network adequacy analysis, and regulatory compliance
  • Strong organizational, interpersonal, and communication skills
  • Proficiency in provider database systems, Microsoft Office Suite, and regulatory reporting platforms
  • Familiarity with value-based care or alternative payment models within Medicaid preferred
Benefits
  • medical (including prescription) insurance
  • supplemental insurance
  • dental insurance
  • vision insurance
  • life and AD&D insurance
  • short- and long-term disability
  • flexible spending accounts
  • retirement plans
  • tuition assistance
  • access to tuition discounts at Thomas Jefferson University

Applicant Tracking System Keywords

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

Hard skills
provider contractingnetwork developmentnetwork adequacy analysisregulatory complianceprovider negotiationsvalue-based carealternative payment models
Soft skills
organizational skillsinterpersonal skillscommunication skillscoachingteam management
Certifications
Bachelor’s degreeMaster’s degree in healthcare administrationMaster’s degree in public health
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