Manager, Network Development
Position Purpose:
Provide support for the management of physician, hospital and ancillary provider recruitment in accordance with corporate, health plan and state guidelines for assigned regions
Manage team and process for recruitment of provider targets (physician, hospital, and ancillary) in assigned regions in accordance with corporate, health plan and state guidelines
Analyze various data and assist with defining goals and metrics for the network
Identify and develop provider networks through collaboration with various contracting departments
Participate in negotiations with vendor or provider contracts and participate in management of implementations and ongoing relationships
Collaborate with internal departments and contracted providers to implement and maintain contract compliance
Monitor productivity and identify and implement initiatives to maximize outcomes
Education/
Experience:
Bachelor's degree in Health Administration, Business Administration, related field or equivalent experience. 4 years of provider recruitment, contracting, contract analysis, or provider relations experience. Experience with network development processes, contract language, principles of negotiation, credentialing and call center operations. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
Preferred SME with Medicare Manager Care
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
. Apply now!Estimated Salary: $20 to $28 per hour based on qualifications.
Provide support for the management of physician, hospital and ancillary provider recruitment in accordance with corporate, health plan and state guidelines for assigned regions
Manage team and process for recruitment of provider targets (physician, hospital, and ancillary) in assigned regions in accordance with corporate, health plan and state guidelines
Analyze various data and assist with defining goals and metrics for the network
Identify and develop provider networks through collaboration with various contracting departments
Participate in negotiations with vendor or provider contracts and participate in management of implementations and ongoing relationships
Collaborate with internal departments and contracted providers to implement and maintain contract compliance
Monitor productivity and identify and implement initiatives to maximize outcomes
Education/
Experience:
Bachelor's degree in Health Administration, Business Administration, related field or equivalent experience. 4 years of provider recruitment, contracting, contract analysis, or provider relations experience. Experience with network development processes, contract language, principles of negotiation, credentialing and call center operations. Previous experience as a lead in a functional area, managing cross functional teams on large scale projects or supervisory experience including hiring, training, assigning work and managing the performance of staff.
Preferred SME with Medicare Manager Care
Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
. Apply now!Estimated Salary: $20 to $28 per hour based on qualifications.
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