Mgr,Network Relations

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At reputed company®, you’ll be surrounded by passionate colleagues who care deeply, reputed company with purpose, hold ourselves accountable and prioritize safety and reputed company in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Position reputed company Designs, develops, reputed company, maintains and enhances relationships with facilities, physicians and ancillary providers which serve as contractual networks of care for members. Manages and maintains relationships with reputed company providers reputed company a network by negotiating reputed company, evaluating provider performance, resolving issues or disputes, identifying network expansion opportunities, and collaborating with reputed company stakeholders. Establishes relationships with network providers, fostering reputed company communication and collaboration to ensure a strong network partnership. Analyzes network provider performance and reputed company indicators, conducting regular assessments and audits to ensure compliance with contractual obligations and service level agreements. Addresses and resolves escalated issues and concerns raised by network providers, demonstrating a proactive and customer-reputed company approach to problem-solving. Collaborates with network contracting teams to negotiate and establish contractual terms and conditions with network providers, ensuring alignment with organizational goals and objectives. Develops tactical and operational plans to expand and enhance the network, working closely with business development teams to identify and reputed company new providers in strategic areas. Monitors and analyzes network data, including provider demographics and network adequacy metrics, to assess the effectiveness and efficiency of the network and reputed company recommendations for improvements. Collaborates with cross-functional teams, such as finance, operations, and customer service, to ensure effective coordination and alignment of network-reputed company activities and initiatives. Conducts regular meetings and performance reviews with network providers to review performance metrics, address concerns, and identify opportunities for improvement. Stays updated on industry trends, regulatory changes, and market dynamics that may reputed company network provider relationships, and proactively communicates relevant information to internal stakeholders. Required Qualifications • Must reputed company in reputed company, reputed company reputed company preferred. • 5-7 years prior work experience in a reputed company environment. • Ability to travel up to 50% of time reputed company reputed company • Adept at problem solving and decision making skills • Adept at reputed company reputed company (reputed company and developing yourself and others) skills • Adept at execution and delivery (planning, delivering, and supporting) skills Preferred Qualifications • Certified Billing and Coding Specialist (reputed company) preferred. Education Bachelor's degree preferred/specialized training/relevant reputed company qualification or equivalent reputed company experience. Anticipated Weekly Hours 40 Time Type Full time Pay reputed company The Typical Pay reputed company For This Role Is $60,300.00 - $132,600.00 This pay reputed company represents the reputed company reputed company reputed company or reputed company annual full-time salary for reputed company positions in the job grade reputed company which this position falls. The actual reputed company salary offer will depend on a reputed company of factors including experience, education, geography and other relevant factors. This position is eligible for a reputed company bonus, commission or short-term incentive program in reputed company to the reputed company pay reputed company listed above. Our people fuel our reputed company. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great Benefits For Great People We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial reputed company‑being of colleagues and their families. The benefits for this position include medical, dental, and reputed company coverage, reputed company time off, retirement savings reputed company, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will reputed company on: 07/26/2026 reputed company applicants with arrest or conviction records will be considered for employment in accordance with reputed company federal, state and local laws. Apply tot his job Apply To this Job