Manager, Network Development

UMC Health System • Richmond, KY

3d • Onsite

About The Position

The Manager, Network Development, is responsible for overseeing both managed care operations and business development functions to drive network growth, contract performance, and strategic alignment across payers, providers, and business partners. This role leads teams focused on provider relations, care coordination support, contract compliance, and new business opportunities, while serving as a key liaison between internal stakeholders and external payer and employer networks. The Manager reports directly to the Chief Business Development Officer and ensures that all efforts align with organizational goals, regulatory requirements, and revenue growth strategies.

Requirements

• Bachelor’s in business, Healthcare Administration, Finance, or related field required.
• Minimum of 7 years of experience in managed care, healthcare contracting, or related field.
• Minimum of 3 years of leadership or management experience.
• Knowledge of managed care principles, payer contracting, and reimbursement methodologies.
• Strong negotiation, analytical, and problem-solving skills.
• Ability to interpret and apply contractual and regulatory requirements.
• Effective leadership, team management, and staff development abilities.
• Strong organizational and time management skills with ability to manage multiple priorities.
• Proficiency in Microsoft Office Suite and healthcare data systems.
• Ability to maintain professionalism and confidentiality in all situations.

Nice To Haves

• Master’s degree preferred.

Responsibilities

• Lead the operational performance of managed care functions, including payer relations, contract compliance, and reimbursement strategy, while supporting ongoing regulatory readiness.
• Oversee and support staff responsible for business development, enrollment, and network engagement, ensuring alignment with performance, access, and growth goals.
• Negotiate, evaluate, and implement payer contracts, including redline review, reimbursement terms, and strategic rate adjustments to optimize net revenue.
• Analyze payer and contract performance data to identify trends, resolve escalated issues, and recommend strategies for financial and operational improvement.
• Act as a primary liaison with payers, brokers, employers, and internal stakeholders, ensuring strong relationships and responsiveness to external concerns.
• Support development of new business strategies, outreach initiatives, and market growth plans in coordination with Enrollment Specialists and Business Development staff.
• Prepare executive-level reports and presentations on managed care performance, business development activity, and network trends for senior leadership.
• Monitor healthcare and insurance industry trends to inform strategic planning and advise leadership on potential impact to contracting, development, and access.

What This Job Offers

• Job Type: Full-time
• Career Level: Manager