Director Network Management-Colorado
Core
Director responsible for network development and provider reimbursement for the Colorado Health Services Area, overseeing a team managing provider contracting, network adequacy, and performance management.
Role type
Director, Provider Network Management
Builds
Provider contracting arrangements and network adequacy standards for health plans
Domain
Healthcare / Insurance
Deliverable
client delivery
Required skills
Provider contracting, network development, regulatory compliance, team leadership, financial analysis, stakeholder coordination
Preferred skills
CPA or MBA, experience with large health systems, issue escalation
Technologies
None stated
Responsibilities
Oversee contracting and maintenance of all facilities including hospitals and surgery centers; Develop and maintain physician risk contracts and capitated arrangements; Manage key contracting and servicing staff; Develop cost-effective network strategies; Hire, train, coach, and evaluate direct reports
Seniority
Director, hands-on leadership