Our mission: to dramatically improve the health & well-being of older Americans by caring for everyone like family

Provider Network Manager

ManagerManagerFull TimeRemoteTeam 1,001-5,000Since 2017H1B No SponsorCompany Site LinkedIn

Location

New Jersey

Posted

7 days ago

Salary

$80K - $110K / year

High School5 yrs expEnglish

Job Description

• 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 • Supporting the overall Network Team as required to achieve success for Devoted Health • Supporting assigned groups to improve performance in CMS STAR measures

Job 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 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....