Director, Network Development

Magellan Health

Remote
Base: $105,230 - $178,890; bonus/equity: may be el...
Remote
Provider network development strategy
Network adequacy and access
Provider contracting and compliance
Magellan Health is seeking a Director of Network Development to lead the strategy and planning for their provider network, ensuring adequacy and compliance with federal and state laws. The ideal candidate will have over eight years of managed healthcare experience and significant expertise in network management and development

Job Summary

  • This position is responsible for the development of the provider network, assuring network adequacy and appointment access, development of network resources in response to unmet needs, and adequacy of the provider network to provide member choice of providers, and contracting with qualified service providers in compliance with federal and state laws.
  • Leads network planning and strategy efforts to support the successful implementation or transformation of the various delivery systems, including assisting in all network related activities during new contract implementations.
  • The job duties listed above are representative and not intended to be all-inclusive of what may be expected of an employee assigned to this job.

Matching Summary

Match Score: 85

Magellan Health is seeking a Director of Network Development to lead the strategy and planning for their provider network, ensuring adequacy and compliance with federal and state laws. The ideal candidate will have over eight years of managed healthcare experience and significant expertise in network management and development.

Salary

Base: $105,230 - $178,890; Bonus/Equity: May be eligible for short-term incentives; Benefits: Comprehensive benefits package

Skills & Requirements

Must-have

  • Provider network development strategy
  • Network adequacy and access
  • Provider contracting and compliance
  • Market research and capture strategy
  • Lead network development team

Nice-to-have

  • Provider association engagement
  • Provider training and qualifications
  • Transforming delivery systems

Key Requirements

  • 8+ years managed healthcare experience
  • Significant experience in progressive network management and development
  • Knowledge of NCQA requirements
  • Bachelor's degree or equivalent experience
  • Work experience in Network

Work Rights

Not specified

Tailored Resume

Cover Letter