Provider Network Management Director (US)

About the role

This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office. Must be willing to work PST hours.

Responsibilities

• Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning
• Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit
• Typically serves as lead contractor for large scale, multi-faceted negotiations
• Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact
• May assist management in network development planning
• May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring
• Contracts involve non-standard arrangements that require a high level of negotiation skills. Fee schedules are customized
• Works independently and requires high level of judgment and discretion
• May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management
• May collaborate with sales team in making presentations to employer groups
• Serves as a communication link between providers and the company
• Conducts the most complex negotiations
• Prepares financial projections and conducts analysis
• Travels to worksite and other locations as necessary

Requirements

• BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background

Preferred qualifications

• Experience using financial models and analysis to negotiate rates with providers strongly preferred
• Demonstrated experience negotiating and managing complex contracts with large health systems within the Commercial line of business strongly preferred

Pay

For candidates working in person or virtually in Costa Mesa, CA; Woodland Hills, CA; Chicago, IL; Las Vegas, NV; Norfolk, VA; or Seattle, WA, the salary range for this position is $103,120 to $177,882.

Benefits

• Comprehensive benefits package
• Incentive and recognition programs
• Equity stock purchase and 401k contribution

Schedule

Hybrid workforce strategy requiring in-office attendance at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.