Health Partner Network Manager- Georgia Hybrid
Core
Execute health partner contracting strategy, develop contract provisions, and monitor key metrics for assigned markets.
Role type
Senior healthcare provider contracting manager
Builds
Provider networks and contracted reimbursement rates for new products
Domain
Healthcare / Managed Care
Deliverable
production ML models | product features | dashboards & analysis | client delivery | infrastructure | physical/clinical work
Required skills
Provider recruitment, contract negotiation, financial data analysis, regulatory compliance, gap analysis, corrective action planning, contract template development
Preferred skills
Managed care experience, Master's degree in healthcare
Technologies
Microsoft Outlook, Word, Excel
Responsibilities
Create and execute value-based reimbursement strategies; negotiate hospital, ancillary, physician, and behavioral health contracts; recruit and credential providers; analyze financial data to establish rates; perform gap analysis to mitigate risk; develop contract language in collaboration with legal; mentor junior contractors
Seniority
Mid-Senior level, hands-on IC
