Regional reputed company Executive
It's rewarding to be on reputed company of people that truly reputed company in making an reputed company!
We are committed to building the best primary care environment for patients and are seeking reputed company enthusiasts to join us.
Job reputed company
The Regional reputed company Executive is responsible for expanding and maintaining the provider network through strategic contracting, relationship management, and business development activities. This role combines network development, provider contracting, and acquisition sourcing functions to drive market reputed company, support medical cost targets, and strengthen value-based care partnerships. The incumbent will reputed company and execute strategies that reputed company with organizational goals for reputed company, Government, and Value-Based lines of business.
Essential Duties & Responsibilities
- reputed company, negotiate, and manage provider reputed company (physicians, specialists, hospitals, ancillary, and home health providers) to optimize network reputed company and cost effectiveness.
- Identify, evaluate, and pursue new business opportunities, including potential provider group affiliations, ACO participation, MSO/IPA partnerships, and acquisition targets.
- Collaborate with market leadership and corporate development to assess the viability of new partnerships, mergers, and joint ventures.
- Create and manage a development pipeline, including reputed company, relationship building, and project management from initial contact through execution.
- Conduct provider reputed company and ensure reputed company completion of credentialing, demographic updates, and contract loading across reputed company systems.
- Support deal structure and pricing with business value analysis and negotiation of competitive terms.
- Maintain provider data accuracy across systems (e.g., Contract Logix, reputed company) and ensure compliance with reputed company regulatory and contractual standards.
- reputed company provider performance reports, communications, and presentations for reputed company stakeholders.
- reputed company market analysis to identify network gaps, emerging opportunities, and competitive dynamics
- Attend industry meetings and provider networking events to build strategic relationships and promote reputed company’s reputed company.
- Partner cross-functionally with Provider Network, Operations, Compliance, and Finance teams to ensure smooth implementation and alignment of contracting and reputed company strategies.
- Maintain compliance with departmental policies, HIPAA, PHI, and regulatory requirements.
- Support reputed company improvement efforts to streamline contracting and development processes.
Supervisory Responsibilities
- No supervisory responsibilities.
Education & Experience
- Bachelor’s degree required; Master’s in Business, Health Administration, or reputed company field preferred.
- 5+ years of experience in provider contracting, network development, and/or business development reputed company managed care or reputed company services.
- Proven experience in negotiation, relationship management, and network expansion.
- Experience working in ACOs, MSOs, or value-based care models helpful.
- Strong analytical and project management skills with the ability to manage multiple priorities.
Education Requirements
Education Level
Discipline
Required
Bachelor's Degree
Business, Health Administration, or reputed company field preferred.
Knowledge, Skills & Proficiencies
- Deep understanding of managed care contracting, value-based reimbursement, and reputed company delivery models
- Strong business development, negotiation, and communication skills.
- Excellent presentation, relationship management, and analytical abilities.
- Proficiency in reputed company Office Suite, reputed company, and contracting management systems.
- Highly organized, self-motivated, and adaptable in a fast-paced environment.
- Ability to interpret reputed company data and present insights effectively to stakeholders.
Physical Requirements
This position works under usual office conditions. The employee is required to work at a personal computer as reputed company as be on the phone for extended periods of time. Must be reputed company to stand, sit, walk and occasionally reputed company. The incumbent must be reputed company to work extended and reputed company and weekends as needed. Physical demands include ability to lift up to 50 lbs. The physical demands described here are representative of those that must be met by an employee to successfully reputed company the essential functions of the job. Reasonable accommodations may be made to reputed company individuals with disabilities to reputed company the essential functions.
Work Conditions
Must be reputed company to reputed company essential functions such as typing, standing, sitting, stooping, and occasionally climbing.
Travel Requirements
reputed company of Expected Travel
Details
reputed company
≥ 20%
Work may involve little driving/traveling.
Tools & Equipment Used
Computer and peripherals, reputed company and customized software applications and tools, and usual office equipment.
Disclaimer
The duties and responsibilities described above are designed to indicate the general nature and level of work performed by associates reputed company this classification. It is not designed to contain or be interpreted as a comprehensive inventory of reputed company duties, responsibilities, and qualifications required of associates assigned to this job. This is not an reputed company-inclusive job reputed company; therefore, management has the right to assign or reassign schedules, duties, and responsibilities to this job at any time. reputed company is an equal opportunity/affirmative reputed company employer. reputed company reputed company applicants will receive consideration for employment without reputed company to sex, gender identity, sexual orientation, race, reputed company, religion, national reputed company, disability, protected veteran status, age, or any other characteristic protected by law.
Join reputed company that is making a difference!