Network Manager

Major Responsibilities/Essential Functions

• Develop, manage, and implement Region-wide contracting strategies.
• This includes specialty services and the alignment of contract interests of TSPMG, and Network providers.
• Accountable for cost arrangements within defined groups.
• Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities.
• Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies.
• Manage contractual relationships and ensure accurate administration of contract terms.
• Lead and participate in multidisciplinary teams comprised of claims, UM, credentialing, contract configuration and other teams as needed.
• Collaborate with Finance to identify cost savings initiatives and monitor contract performance.
• Ensure contract compliance with all requirements as set forth by State and Federal agencies.

Minimum Education

Bachelor’s Degree

Minimum Work Experience And Qualifications

3-5 years of experience in managed care contracting/provider relations

Preferred Work Experience And Qualifications

5+ years of experience in managed care contracting

Benefits

Kaiser Permanente offers a competitive salary, a generous retirement package, paid time off, health, dental, vision, and life insurance, long and short-term disability, relocation allowance, and more.

Pay

N/A

Schedule

N/A