Director Network Management-Colorado
About The Position
The Director Network Management-Colorado is responsible for network development and provider reimbursement for the Colorado Health Services Area. This leader oversees a team, managing a high-volume, complex portfolio spanning provider contracting, network adequacy, and performance management including regulatory scrutiny, network adequacy standards, and affordability initiatives. This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Candidates not within a reasonable commuting distance from the posting location(s) will not be considered for employment, unless an accommodation is granted as required by law.
Requirements
- Requires a BS/BA degree in business administration or related healthcare field and a minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background.
Nice To Haves
- Strongly preferred CPA or MBA degree.
- Strong leadership for effective issue escalation and stakeholder coordination, particularly with regulators and key provider systems.
- Strong analytical and relationship building skills.
- Previous provider contracting experience, preferably with large health systems.
Responsibilities
- Oversees contracting and maintenance of all facilities including hospitals, surgery centers, etc.
- Oversees the development, maintenance and reconciliation of physician risk contracts and capitated arrangement.
- Attracts, develops and manages key contracting and servicing staff.
- Develops innovative ways to maintain a cost effective network with adequate access and positive working relationships with providers.
- Hires, trains, coaches, counsels, and evaluates performance of direct reports.
Benefits
- comprehensive benefits package
- incentive and recognition programs
- equity stock purchase
- 401k contribution
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical, dental, vision
- short and long term disability benefits
- 401(k) +match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
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What This Job Offers
Job Type
Full-time
Career Level
Director
