Network Development & Contracting Associate

Clover Health•Remote - USA, NJ

4d•$90,000 - $110,000•Remote

About The Position

In this role, you will be accountable for developing and executing the network development and provider contracting strategies for a defined market. You will also participate in the development of the network management strategy which includes aspects of technology & product development, utilization management, value-based care, membership growth, marketing and member and provider experience. About Clover: We are reinventing health insurance by combining the power of data with human empathy to keep our members healthier. We believe the healthcare system is broken, so we've created custom software and analytics to empower our clinical staff to intervene and provide personalized care to the people who need it most. We always put our members first, and our success as a team is measured by the quality of life of the people we serve. Those who work at Clover are passionate and mission-driven individuals with diverse areas of expertise, working together to solve the most complicated problem in the world: healthcare. From Clover’s inception, Diversity & Inclusion have always been key to our success. We are an Equal Opportunity Employer and our employees are people with different strengths, experiences, perspectives, opinions, and backgrounds, who share a passion for improving people's lives. Diversity not only includes race and gender identity, but also age, disability status, veteran status, sexual orientation, religion and many other parts of one’s identity. All of our employee’s points of view are key to our success, and inclusion is everyone's responsibility. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment qualified applicants with arrest and conviction records. We are an E-Verify company. Final pay is based on several factors including but not limited to internal equity, market data, and the applicant’s education, work experience, certifications, etc.

Requirements

Experience in network development, recruitment, contracting, business development, network management, and/or managed care.
Positive leadership skills and the ability to influence, collaborate and motivate others.
A basic understanding of provider contract options, healthcare economics and competitors practices with the ability to grasp both clinical and business concepts.
Experience negotiating provider contracts to improve overall performance.
Able to create interest and drive action across a wide set of collaborative team members.

Responsibilities

Help network development and contracting goals within designated geographies.
Develop and refine local contracting strategies to drive provider participation in Medicare Advantage, Direct Contracting and other value-based initiatives.
Address and resolve any concerns raised by providers and effectively communicate those solutions to internal stakeholders.
Engage and partner collaboratively with other teams.
Deep expertise in negotiating and managing ancillary and specialty provider contracts.