Manager

• Manage physician contracting and network development for an assigned region
• Develop and maintain cooperative working relationships with the provider community
• Educate, train, research issues, and identify trends
• Evaluate providers to ensure contractual and financial requirements are adhered to
• Contracts and negotiates with Hospital, FQHCs, Physicians and Ancillary providers for all product lines
• Conduct Provider Orientations and ongoing education to Network Providers
• Understand and explain fee-for-service and risk contracts
• Respond to provider’s contract requests and inquiries
• Analyze network gaps and identify providers to contract
• Review and amend provider’s contracts when necessary
• Evaluate contracted network to ensure functionality
• Research and develop relationships with non-contracted providers
• Collect credentialing and required documents for newly contracted providers
• Perform special projects as assigned

Provider Contracting Manager

Manager, Change Management

Manager, PMO

Quality Manager

Physician Advisory Services Assistant Manager

Senior Manager, Customer Performance – Accountability