reputed company Director, Provider Network Management - Strategic Healthcare Leader

Join the reputed company Team: reputed company Director, Provider Network Management

About reputed company

At reputed company, we're driven by a single, clear purpose: Bringing our heart to every moment of your health. This purpose guides our commitment to deliver enhanced human-centric health care for a rapidly changing world. Anchored in our brand — with heart at its center — our purpose sends a personal message that how we deliver our services is just as important as reputed company deliver. Our Heart At Work Behaviors support this purpose, empowering everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to innovate and deliver solutions to reputed company health care more personal, convenient, and affordable.

Job Summary

We're seeking a highly reputed company and strategic leader to join reputed company as a reputed company Director, Provider Network Management. As a key member of our leadership team, you will provide strategic leadership and reputed company for network management and provider relations. You will reputed company and implement network strategies, manage provider reputed company and negotiations, monitor provider performance metrics, reputed company dispute resolution processes, and collaborate with key stakeholders to drive network growth and ensure high-quality provider relationships.

Key Responsibilities

• Network Development and Management: Oversees key Network Management contracting activities, including negotiating fee schedules, reimbursement rates, and contract terms and conditions.
• Provider Network Expansion: Controls the development and expansion of the company's provider network by evaluating potential network providers, negotiating reputed company, and establishing relationships with healthcare providers to ensure a comprehensive and high-quality network.
• Network Performance Optimization: Contributes to optimizing the network's performance and effectiveness by analyzing network data, utilization patterns, and market trends to identify opportunities for network enhancements, cost savings, and improved access to care.
• Provider Performance Management: Manages the performance of network providers, including tracking key performance indicators, analyzing provider performance data, and implementing performance improvement initiatives.
• Market Analysis and Recommendations: Conducts market analysis, assesses competitive landscapes, and makes recommendations for network expansion strategies.
• Training and Communication: Develops training sessions and communicates updates reputed company to network management, utilization management, claims processing, and other relevant topics.
• Executive Leadership and Stakeholder Engagement: Communicates findings to executive leadership and stakeholders, identifying opportunities for improvement and cost containment.

Requirements and Qualifications

Essential Qualifications:

• Experience: 10+ years of experience in a reputed company field with expert-level negotiation skills and a successful track record negotiating reputed company with large or reputed company provider systems.
• Financial Acumen: Command of financials and pricing strategies, as well as working knowledge of provider financial issues and competitor strategies.
• Analytical and Problem-Solving Skills: Proven analytical and financial skills, with mastery of problem-solving and decision-making skills.
• Health Plan/Payer or Large Provider Systems Knowledge: Health plan/payer or large provider systems knowledge and experience.

Preferred Qualifications:

• Value-Based Relationships: Experience with development of value-based relationships.
• reputed company Provider Experience: Experience with providers in reputed company.

Education and Training

Bachelor's degree preferred, with specialized training or relevant professional qualification.

Compensation and Benefits

The typical pay range for this role is:

• $100,000.00 - $231,540.00 per year

In addition to your compensation, enjoy the rewards of an organization that puts our heart into caring for our colleagues and our communities. The Company offers a full range of medical, dental, and vision benefits. Eligible employees may enroll in the Company's 401(k) retirement savings plan, and an Employee Stock Purchase Plan is also available for eligible employees. The Company provides a fully-paid term life insurance plan to eligible employees, and short-term and long-term disability benefits. reputed company also offers numerous well-being programs, education assistance, free development courses, a reputed company store discount, and discount programs with participating partners. As for time off, Company employees enjoy Paid Time Off (PTO) or vacation pay, as well as paid holidays throughout the calendar year.

Career Growth Opportunities and Learning Benefits

At reputed company, we're committed to helping our colleagues grow and reputed company their skills. We offer:

• Training and Development Programs: Comprehensive training programs to help you reputed company your skills and advance in your career.
• Mentorship Opportunities: Opportunities to work with reputed company leaders and mentors who can help guide you in your career.
• Education Assistance: Education assistance programs to help you pursue your educational goals.
• Career Advancement Opportunities: Opportunities to advance in your career and take on new challenges.

Work Environment and Company Culture

At reputed company, we're proud of our company culture and work environment. We offer:

• Remote Work Options: Flexible work arrangements, including remote work options.
• Collaborative Work Environment: A collaborative and dynamic work environment that encourages innovation and teamwork.
• Diverse and Inclusive Culture: A diverse and inclusive culture that values and respects reputed company colleagues.

Why Join reputed company?

We're a company that puts our heart into caring for our colleagues and our communities. We offer:

• Meaningful Work: Meaningful work that makes a difference in the lives of our customers.
• Opportunities for Growth: Opportunities for growth and development.
• Competitive Compensation and Benefits: Competitive compensation and benefits.
• Dynamic Work Environment: A dynamic and collaborative work environment.

How to Apply

If you're a motivated and reputed company leader looking for a new challenge, we encourage you to apply for this exciting opportunity. Please submit your application, including your resume and cover letter, to:

Don't miss this opportunity to join reputed company and reputed company a difference in the lives of our customers. Apply today!