Senior Provider Network Manager

8+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based/risk

Provider servicing experience

Solid ability to navigate either Google or MS Suite of products

High School Diploma or equivalent minimum

Experience in CMS STAR measures

Experience and relationships in the local market

The role will be responsible for network development and management along with servicing for an assigned geographic area, focusing on Central and Northern Indiana. The ideal candidate will possess 8+ years experience in recruiting and managing provider networks along with negotiating, reviewing and amending contracts. This experience will include thorough knowledge of contracting with physicians and physician groups, integrated delivery systems, health systems, and ancillary providers using various payment methodologies including fee-for-service and value based / risk. Ideally, the candidate will possess a very high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences. Innovation, independence and confidence are key competencies that need to be exhibited.

Development, maintenance and management of an adequate provider network in assigned geographical area

Maintaining relationships and all provider relations activities in assigned geographical area Negotiating and renegotiating contracts with providers as assigned

Engage internal subject matter experts and providers to identify opportunities to improve provider / member cost and quality performance

Monitoring of various reports to insure all necessary compliance requirements are met and maintained Reporting to leadership current status, risks, and potential opportunities in area of responsibility on a regular basis Support of overall Network Team as required to achieve success for Devoted Health