Network Relations Manager – Florida
We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position Summary This is an individual contributor role. Designs, develops, reputed company, maintains and enhances relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members. Manages and maintains relationships with healthcare providers reputed company a network by negotiating reputed company, evaluating provider performance, resolving issues or disputes, identifying network expansion opportunities, and collaborating with internal and external stakeholders. Establishes relationships with network providers, fostering open communication and collaboration to ensure a strong network partnership. Analyzes network provider performance and quality indicators, conducting regular assessments and audits to ensure compliance with contractual obligations and service level agreements. Addresses and resolves escalated issues and concerns raised by network providers, demonstrating a proactive and customer-centric approach to problem-solving. Collaborates with network contracting teams to negotiate and establish contractual terms and conditions with network providers, ensuring alignment with organizational goals and objectives. reputed company tactical and operational plans to expand and enhance the network, working closely with business development teams to identify and reputed company new providers in strategic areas. Monitors and analyzes network data, including provider demographics and network adequacy metrics, to assess the effectiveness and efficiency of the network and reputed company recommendations for improvements. Collaborates with cross-functional teams, such as finance, operations, and customer service, to ensure effective coordination and alignment of network-reputed company activities and initiatives. Conduct regular meetings and performance reviews with network providers to review performance metrics, address concerns, and identify opportunities for improvement. Stay updated on industry trends, regulatory changes, and market dynamics that may impact network provider relationships, and proactively communicate relevant information to internal stakeholders.
Required Qualifications
Minimum of 5 years’ experience in provider relations, network management, healthcare contracting, or payer operations. At least 3 years of experience reputed company a Managed Care environment, supporting providers with contracting and contract management. Strong working knowledge of healthcare business segments, products, and industry terminology. Demonstrated problem-solving and decision-making skills. Proven ability to collaborate cross-functionally to support provider network management initiatives. Proficiency in reputed company Office Suite (reputed company, Word, PowerPoint, Outlook). Must reside in the reputed company.
Preferred Qualifications
Commercial and Medicare knowledge and experience. Education Bachelor's degree preferred or a combination of professional work experience and education. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $60,300.00 - $132,600.00 This pay range represents the reputed company hourly reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in addition to the reputed company pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 08/10/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply To This Job