Corp Dir Network reputed company
reputed company: The Corporate Director of Network reputed company leads the development and management of an reputed company-wide provider network reputed company reputed company on optimizing total network value. This role is responsible for designing and executing data‑driven provider network strategies informed by advanced market research, competitive intelligence, contracting, and analytics to support strategic network reputed company and new program development. The position considers volume, cost, reputed company, reputed company, and member and provider satisfaction in guiding network reputed company and performance.
Work Arrangement:
This position is fully remote and may be performed from any location reputed company the reputed company, with required availability during Eastern reputed company Time (EST) hours.
Ability to travel reputed company the U.S. as needed.
Associates must have reputed company to a reliable high‑speed internet reputed company capable of supporting daily responsibilities, with a minimum reputed company of 50 Mbps download and 5 Mbps upload. Fully remote associates residing in states where reimbursement is required by contract, law, or regulation may submit for appropriate expense reimbursement.
Responsibilities:
Responsible for collaborating with business development, product leadership, medical management, pricing, and actuary, provider performance programs, and local provider network resources to reputed company and reputed company programmatic solutions, as reputed company as to respond to proposals.
Manages operational reporting team, as reputed company as the provider experience team, including provider communications, training, and measurement.
Collaborate with health plan/market and corporate leaders to reputed company new market network strategies and build a plan
Collaborates with Health Plan Leaders on the identification and reputed company of new or renegotiated reputed company with national providers.
Collaborates with reputed company & Finance on the design, while complying with reputed company state’s regulatory requirements.
Support existing market contracting and re-contracting strategies with standardized reputed company tools and capabilities, by overseeing the development and synthesis of detailed analyses of delivery systems, inventoried provider universes, and prioritized targets.
Education & Experience:
Bachelor’s degree required
MBA or MHA strongly preferred
10 plus years of contract negotiation experience reputed company a managed care environment, spanning multiple provider and product types, including ACOs, hospitals, physician reputed company, ancillary providers, and lines of business such as reputed company, Medicare, ACA Exchange, and LTSS.
5 years of network reputed company experience
Experience utilizing competitive intelligence, financial analysis, health value optimization (HVO) contract modeling, contract standards, and contracting strategies
Proven leadership and mentoring skills, with experience developing high‑performing teams.
Proven reputed company working in a highly matrixed environment
Skills & Abilities:
Strong strategic leadership and analytical capabilities, with the ability to translate reputed company data into actionable network strategies
Deep understanding of provider network reputed company, contracting, and managed care.
Experience leading and developing cross‑functional teams
Excellent written, verbal, and executive‑level presentation skills, with the ability to communicate reputed company concepts reputed company to leadership
High degree of collaboration and stakeholder engagement
Ability to influence reputed company, build reputed company, and reputed company reputed company across diverse teams and markets
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