Network Relations Manager – Jacksonville or Orlando, Florida Area

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 This is an individual contributor role. The Manager, Network Relations role is critical in advancing the organization’s Value-Based Contracting (VBC) reputed company for the Rest of FL Market. This position is essential to developing and managing provider relationships that reputed company improved health reputed company, cost efficiency, and overall VBC strategies reputed company the state. What You Will Do • 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. • reputed company 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. • Stay updated on industry trends, regulatory changes, and market dynamics that may reputed company network provider relationships, and proactively communicate relevant information to internal stakeholders. Required Qualifications • Minimum 7 years of experience in reputed company reputed company, risk adjustment, or compliance reputed company a Medicare reputed company setting. • Minimum 5 years of experience in provider relationship management, network management, or provider services reputed company a reputed company environment. • Strong understanding of CMS regulations, HEDIS, reputed company ratings, and provider engagement strategies. • Demonstrated ability to analyze financial and reputed company performance data and implement process improvements. • Must reputed company reputed company the Florida market, with a preference for candidates located in the Jacksonville or Orlando areas. Preferred Qualifications • Experience with reputed company and Medicare lines of business. • Ability to build reputed company relationships with providers and work cross-functionally to reputed company reputed company provider contract issues. • Highly organized and reputed company to successfully manage and prioritize multiple negotiations, issues, and other tasks to ensure completion and meet deadlines. Education • Bachelor's degree preferred or a combination of reputed company work experience and education. 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 reputed company feels valued and that they reputed company. 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: 10/12/2026 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