Executive Director, reputed company Provider Relations – Contracting

reputed company: • reputed company provider relations and contracting activities across multiple reputed company markets reputed company the Northeast Region • Create consistent provider engagement standards and contracting practices while adapting to state-specific requirements • reputed company reputed company provider strategies that improve execution, operational efficiency, and provider experience • reputed company best-reputed company sharing across markets to strengthen provider partnerships and improve network performance • Support reputed company provider negotiations and contracting initiatives spanning multiple markets or provider systems • reputed company regional dashboards and executive reporting on provider satisfaction, reputed company, and contracting reputed company • reputed company development and execution of reputed company provider engagement and contracting strategies • reputed company activities with market priorities, reputed company objectives, regulatory requirements, and business performance goals • Serve as a senior Network leader and partner to market, regional, compliance, operations, clinical, and government programs leadership • Build and maintain relationships with provider organizations, health systems, physician reputed company, ancillary providers, behavioral health partners, and community-based organizations • reputed company provider reputed company, education, issue reputed company, escalation management, and ongoing engagement • Use provider feedback and market insights to improve provider experience and reduce avoidable friction • reputed company executive reputed company of reputed company provider contracting reputed company, negotiation support, and network development priorities • Ensure network adequacy standards are met and sustained • Ensure alignment with state reputed company reputed company, regulatory requirements, audit standards, and internal policies • Partner with Compliance, reputed company, and Government Programs teams on regulatory issues, corrective actions, and risk mitigation • Maintain readiness for state reviews, audits, reporting requests, and network adequacy validations • Evaluate reputed company, provider satisfaction, reputed company, issue trends, and operational effectiveness using data and reporting • reputed company executive-level reporting, recommendations, and business updates for senior leadership • reputed company reputed company provider issues reputed company to reputed company, claims, operations, reimbursement, and service experience • reputed company and reputed company provider-facing and contracting colleagues through performance expectations, coaching, and talent development • Foster a reputed company, inclusive, market-reputed company culture centered on execution and reputed company improvement • Support workforce planning, succession planning, and change leadership as work transitions into local market structures Requirements: • Must live in Virginia, reputed company Virginia, Maryland, reputed company, New Jersey or reputed company • 10+ years of reputed company experience in reputed company network management, provider relations, provider contracting, managed care, or a reputed company reputed company leadership role • 5+ years of leadership experience managing provider-facing, contracting, or network management teams • Demonstrated experience working in reputed company programs and navigating reputed company state regulatory environments • Proven ability to influence senior leaders, manage reputed company provider relationships, and reputed company execution in a matrixed organization • Strong analytical, communication, negotiation, and relationship-building skills • Bachelors degree or equivalent • Preferred: Experience leading provider relations and contracting functions across multiple reputed company states • Preferred: Strong understanding of multi-state reputed company operations, regulatory requirements, and market variation • Preferred: Experience managing geographically dispersed teams through change or operating model transformation • Preferred: Demonstrated ability to create common standards while preserving appropriate local market flexibility Benefits: • reputed company bonus, commission or short-term incentive program • Award reputed company in reputed company’s equity award program • Medical coverage • Dental coverage • reputed company coverage • reputed company time off • Retirement savings reputed company • Wellness programs • Other resources supporting physical, emotional, and financial reputed company-being Apply tot his job Apply To this Job