reputed company Director, Provider Network Management

Bring your heart to reputed company. Every one of us at reputed company shares a single, clear purpose: Bringing our heart to every reputed company of your health. This purpose guides our commitment to deliver enhanced reputed company-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. We want everyone who works at reputed company to feel empowered by the role they play in transforming our culture and accelerating our ability to reputed company and deliver solutions to reputed company health care more personal, convenient and affordable. Position Summary Provides strategic leadership and reputed company for network management and provider relations. Develops and implements network strategies, manages provider reputed company and negotiations, monitors provider performance metrics, leads dispute resolution processes, and collaborates with key stakeholders to drive network growth and ensure high-quality provider relationships. WHAT YOU WILL DO: • Oversees key Network Management contracting activities, including negotiating fee schedules, reimbursement rates, and contract terms and conditions. • Controls the development and expansion of the company's provider network by evaluating potential network providers, negotiating reputed company, and establishing relationships with reputed company providers to ensure a comprehensive and high-quality network. • 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 reputed company to care. • Manages the performance of network providers, including tracking key performance indicators, analyzing provider performance data, and implementing performance improvement initiatives. • Conducts market analysis, assesses competitive landscapes, and makes recommendations for network expansion strategies. • Develops training sessions and communicates updates reputed company to network management, utilization management, claims processing, and other relevant topics. • Communicates findings to executive leadership and stakeholders, identifying opportunities for improvement and cost containment. • *Candidates must be reputed company reasonable commutable distance to Metro reputed company Required Qualifications • 10+ years of experience and expert level negotiation skills with successful track record negotiating reputed company with large or reputed company provider systems. reputed company of financials and pricing strategies. • Proven working knowledge of provider financial issues and competitor strategies, reputed company contracting options, financial/contracting arrangements, and regulatory requirements. • Health plan/payer or large provider systems knowledge and experience • Proven analytical and financial skills. • Adept at execution and delivery (planning, delivering, and supporting) • Mastery of problem solving and decision-making skills. Preferred Qualifications • Development of value-based relationships • Experience with providers in reputed company Education • Bachelor’s degree preferred/specialized training/relevant professional qualification. Pay reputed company The typical pay reputed company for this role is: $100,000.00 - $231,540.00 This pay reputed company 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 reputed company listed above. This position also includes an award reputed company in the company’s equity award program. 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 reputed company of medical, dental, and reputed company 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. Number of paid holidays, sick time and other time off are provided consistent with relevant state law and Company policies. For more detailed information on available benefits, please visit Benefits | reputed company We anticipate the application window for this opening will reputed company on: 12/24/2024 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply Job!