Manager Network Management & Engagement

Corewell Health • Grand Rapids, MI

3d • Onsite

About The Position

Job Summary Cultivate and maintain productive relationships with providers, healthcare executives and healthcare teams in an effort to create an adequate, strong performing and cost-effective network. Coordinate and facilitate work across medical management, provider operations, sales and underwriting. Essential Functions Develop and maintain purposeful, long term relationships with providers based on fair and competitive business terms, with an emphasis on improving quality and the patients' experience of care, while reducing the cost of care. Manage improvement opportunities, develop action plans and successfully implement them. Direct the activities of assigned team members, establishing annual performance objectives and monitoring the interface between team members and network providers to ensure annual goals are achieved. Provide advice/guidance/recommendations to corporate and regional executives and business partners related to costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion. Support market specific business needs in assigned communities including attending sales presentations and providing market specific data and intelligence.

Requirements

• Bachelor's Degree or equivalent in health care administration, business administration, accounting, finance, clinical or health and human services, or similar
• 3 years of relevant experience within provider network management, health care insurance or other health care delivery setting.
• 2 years of relevant experience directly interacting with clinical practices, including experience in analyzing and integrating financial and quality performance
• 1 year of relevant experience leading projects, teams or initiatives
• 3 years of relevant experience in direct management of staff

Nice To Haves

• Master's Degree MBA, MHA, MHP
• 3 years of relevant experience Strong contextual knowledge (managed care, provider reimbursement models, national health care trends, practice management trends)
• LIC-Driver's License - STATE_MI State of Michigan Upon Hire

Responsibilities

• Develop and maintain purposeful, long term relationships with providers based on fair and competitive business terms, with an emphasis on improving quality and the patients' experience of care, while reducing the cost of care.
• Manage improvement opportunities, develop action plans and successfully implement them.
• Direct the activities of assigned team members, establishing annual performance objectives and monitoring the interface between team members and network providers to ensure annual goals are achieved.
• Provide advice/guidance/recommendations to corporate and regional executives and business partners related to costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion.
• Support market specific business needs in assigned communities including attending sales presentations and providing market specific data and intelligence.

Benefits

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance, pet insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

What This Job Offers

• Job Type: Full-time
• Career Level: Manager
• Number of Employees: 5,001-10,000 employees