Network Development Manager

Christian Care Ministry•Orlando, FL

41d

About The Position

The Network Development Manager manages, negotiates and develops contract agreements with high value healthcare providers and delivery systems. This role is instrumental in executing standard agreements, letters of agreements to potential providers for the strategic development of the provider network. The Network Development Manger interacts effectively with management, operations and administrative support teams to ensure a successful contract negotiation ensuring consistency with contracting strategies, accessibility, quality, compliance, financial goals and cost initiatives.

Requirements

Proven experience of healthcare provider network financial and contract arrangements between payers and providers
Excellent communication skills – ability to create and deliver effective and professional multi-mode communications and presentations
Relationship Management - ability to develop and manage highly complex provider relationships
Detailed knowledge of healthcare reimbursement methodologies, including incentive-based models
Team player – proven ability to develop and foster healthy working relationships in a fast-paced and matrix organization
Strong analytical skill – ability to organize, make sense of, and effectively present data in a compelling way helping others make data driven decisions
Critical thinking and problem-solving skill – ability to navigate challenges through logic, active listening, and clear action steps to move forward
Contract Management skill – ability to monitor and manage contract provisions and proactively take steps to ensure adherence
Proven experience with negotiation – ability to drive to consensus between two parties who may have different interests for the benefit of all parties
5-7 years’ Hospital contracting and negotiating experience involving complex delivery systems and organizations required
Bachelor’s degree in Business, Healthcare Administration, Finance, or Economics required; equivalent combination of other education and job specific experience may be considered

Nice To Haves

MBA or MHA preferred

Responsibilities

Manage complex contracting and negotiations for fees for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups)
Build relationships that nurture partnerships and seek broader value-based business opportunities to support the local market strategy
Initiate and maintain effective channels of communication with internal partners including but not limited to, billing and payment operations, Care Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service
Manage strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements
Contribute to the development of alternative network initiatives; Supports and provides direction to develop network analytics required for the network solution
Work to meet contracting targets (adequacy, accessibility, medical cost spend, etc.), while preserving an adequate network, to achieve and maintain Company's competitive position
Prepare, analyze, review, and project financial impact of larger or complex provider contracts and assesses alternate contract terms
Manage key provider relationships and is accountable for critical interface with providers and business staff
Demonstrate knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
Strong understanding of and familiarity with payers and players in the healthcare landscape
Leverage prior history and success leading and managing multiple contracts to deliver results
Track current contract performance and process renegotiations and changes, amendments, and extensions to existing agreements
Review and revise provider contracts as necessary to reflect updates in business strategy or organizational developments
Represent company with high visibility providers and community groups
Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
All other duties as assigned

Benefits

100% paid Medical for employees/99% for family
Generous employer Health Savings Account (HSA) contributions
Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
6 weeks of paid parental leave (for both mom and dad)
Dental - two plans to choose from
Vision
Short-term Disability
Accident, Critical Illness, Hospital Indemnity
401(k) – up to 4% match on ROTH or Traditional contributions
Generous paid-time off and 11 paid holidays
Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo
Employee Assistance Program including no cost, in-person mental health visits and employee discounts
Monetary Anniversary Awards Program
Monetary Birthday Awards