Job Summary

• This position leads all aspects of provider network strategy, including discounts analysis, competitive analysis, access analysis, network operations, cost savings initiatives, and Pay for Value (P4V) initiatives.
• The role supports executive decision makers with analysis related to reimbursement and unit cost management, and oversees the entire business contracting paradigm.
• Responsibilities include establishing provider recruitment plans, monitoring recruitment for compliance with network adequacy standards, and overseeing the development of provider contracts to ensure compliance with state-specific requirements.

Matching Summary

Skills & Requirements

Key Requirements

• 7-10 years managed care network development
• 5-7 years management positions
• Negotiating large scale provider contracts
• Bachelor's Degree in Business/Healthcare Admin or related field
• Master's Degree preferred

Work Rights