Provider Network Manager

Job Description

Looking for an experienced Provider Network Manager to lead our network operations. Responsibilities include negotiating contracts, maintaining provider relationships, and ensuring compliance. This role is vital to delivering high-quality patient care.

Responsibilities

• Negotiate and manage contracts with healthcare providers.
• Evaluate provider performance metrics to ensure service quality.
• Coordinate with various departments to align network strategies.
• Develop improvement plans based on performance evaluations.
• Ensure all network activities comply with local, state, and federal regulations.
• Support network expansion plans through data analysis.
• Collaborate with IT teams to enhance database management systems.
• Report regularly to senior management on network performance.
• Lead training sessions for internal staff on network policies.
• Cultivate an inclusive and collaborative work environment.

Requirements

Education

• Bachelor's degree in healthcare administration or a related field.
• Master's degree in healthcare administration is preferred.

Experience

• 5+ years of experience in provider network management.

Technical Skills

• Relationship Management
• Contract Management

Soft Skills

• Analytical Skills
• Interpersonal Skills

Certifications

• Lean Six Sigma Certification.
• Project Management Professional (PMP).

Languages

• English: Fluent

Advantageous

• Experience with healthcare network analytics tools.: Hands-on experience with software that analyzes provider performance.
• Certification in Lean Management Practices.: Expertise in practices that improve efficiency and eliminate waste.

Benefits

• Comprehensive health, dental, and vision insurance.
• Generous 401(k) plan with matching contributions.
• Employee wellness programs.
• Flexible work arrangements and remote work options.

Company Culture

• Innovation: We prioritize innovation and encourage our team to think creatively and push boundaries.
• Growth Opportunities: We provide ample opportunities for professional growth and mentorship.
• Inclusivity: Our workplace values inclusivity and encourages every voice to be heard.