Program Network Manager

For those who want to invent the future of health care, here's your opportunity. We're going beyond basic care to health programs integrated across the entire continuum of care. Join us in making healthcare work better for everyone through people-led, responsible AI while Caring. Connecting. Growing together.

The Program Network Manager will leverage their expertise in provider networks to drive the next phase of evolution in how provider networks are composed and compensated. This role requires a blend of analytical skills, strategic thinking, and relationship management to ensure clinical providers successful within the Medicare Advantage/Risk Adjustment Model. The successful candidate will thrive in a fast-paced, performance-focused environment, managing a portfolio of projects and ensuring high levels of group engagement.

Primary Responsibilities:

• Build and maintain strong relationships with provider groups to foster collaboration and trust • Strategize and guide priorities for provider groups to ensure successful performance and alignment with organizational goals • Analyze data to identify areas for improvement and develop actionable strategies • Collaborate with cross-functional teams to ensure the right stakeholders are involved in discussions and decision-making processes • Monitor and ensure provider groups meet contract standards across various performance metrics • Provide regular performance reports and updates to provider groups and senior management • Participate in the development of business strategy • Drive program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness • Solve unique and complex problems with broad impact on the business

You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in.

Required Qualifications:

• 2+ years of experience working with a managed care organization or health insurer, or as a consultant in a network/contract management role (e.g., contracting, provider services) • 2+ years of project management or project lead experience • 2+ years of experience in data analysis, with the ability to interpret complex data sets • Proven experience delivering engaging and impactful presentations to large audiences, including senior leadership, medical directors, and C-suite executives • Sales experience, with the ability to effectively 'sell' and gain buy-in from provider groups, particularly in the context of evolving incentive contracts. This includes the ability to clearly articulate the benefits and value propositions of new contract terms and motivate provider groups to adopt changes • Experience with healthcare data analytics tools and platforms • Proven expertise in physician, facility, and ancillary contract reimbursement methodologies • Proven solid analytical and problem-solving skills • Proven excellent communication and interpersonal skills