Health Partner Network Manager
Core
Execute health partner contracting strategy, develop contract provisions, and monitor key metrics for assigned markets.
Role type
Senior IC provider network manager
Builds
Provider networks and contracted services for new products
Domain
Healthcare / Managed Care
Required skills
Provider recruitment, contract negotiation, financial data analysis, regulatory compliance, gap analysis, rate establishment
Preferred skills
Master's degree, managed care experience, subject matter expertise in specific provider types
Technologies
Microsoft Outlook, Word, Excel
Responsibilities
Create and administer 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 and risk mitigation; mentor junior contractors.
Seniority
Senior, hands-on IC