Provider Network Manager Sr (US)
Core
Develops the provider network through contract negotiations, relationship development, and servicing, focusing on complex providers and non-standard arrangements.
Role type
Senior Provider Network Manager (Contracting)
Builds
Provider contracts and fee schedules for a health insurance company
Domain
Healthcare / Managed Care
Required skills
Contract negotiation, relationship development, provider servicing, complex provider management, value-based care concepts, document drafting
Preferred skills
Fee schedule development using actuarial models
Responsibilities
Conducts complex negotiations and drafts documents, ensures appropriate distribution of provider specialties, serves as a communication link between providers and the company, mentors other contracting staff, collaborates on enterprise network management projects
Seniority
Senior, hands-on IC
