Provider Network Manager

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Job Description

Must be located in the Memphis, TN area

A bit about this role:

This is a key in our organization. The role will be responsible for network development and management along with servicing for an assigned geographic area. The ideal candidate will possess 5+ years experience in recruiting and managing provider networks along with negotiating, reviewing and amending contracts. This experience will include thorough knowledge of contracting with physicians and physician groups, integrated delivery systems, health systems, and ancillary providers using various payment methodologies including fee-for-service and value based / risk. Ideally, the candidate will possess a very high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences. Innovation, independence and confidence are key competencies that need to be exhibited. 

Your Responsibilities and Impact will include:

• Development, maintenance and management of an adequate provider network in assigned geographical area 

• Maintaining relationships and all provider relations activities in assigned geographical area Negotiating and renegotiating contracts with providers as assigned 

• Engage internal subject matter experts and providers to identify opportunities to improve provider / member cost and quality performance 

• Monitoring of various reports to insure all necessary compliance requirements are met and maintained Reporting to leadership current status, risks, and potential opportunities in area of responsibility on a regular basis 

• Supporting the overall Network Team as required to achieve success for Devoted Health

• Supporting assigned groups to improve performance in CMS STAR measures

• Analyze cost and performance trends to identify areas for improvement and develop targeted strategies to address variances

• Coach and guide providers on managing costs, improving quality, and optimizing performance within value-based and risk-sharing arrangements.
   

Required skills and experience: 

• 5+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value …