Provider Network Manager

Devoted Health, Cleveland, OH

See jobs at Devoted Health

Duration: Full-Time

A bit about us:

We’re on a mission to change healthcare — how it’s paid for, delivered, experienced. We want to put people center stage, not process or profit. We are guided by a deep belief that every person on Medicare should be treated like we would treat a member of our own family: with loving care and a profound commitment to their health and well-being.

Why Devoted:

Make a difference... a big difference. You will have the opportunity, in a unique and dynamic culture, to be a part of something incredibly meaningful. We’re a disruptive startup with an inspiring mission. Learn and grow alongside our world-class team of healthcare, technology, and data leaders, dedicated to building a health plan and clinical services that care for everyone like they were our own mothers or fathers. Our team and board members have decades of experience in health care entrepreneurship, data, technology, services, and policy. With their support, we look forward to building a health plan and clinical services that will give seniors easy access to the high-quality care they deserve.

A bit more about this role:

This is a key in our organization. The role will be responsible for network development and management along with servicing for an assigned geographic area. The ideal candidate will possess 5+ 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 using various payment methodologies including 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.

A day in the life will include.....

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 physicians and provider groups as assigned
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

Attributes to success...

Ability to make quick, independent decisions
Mutually beneficial negotiation skills
Attention to detail
Ability to analyze financial reports and identify trends/variances“Big Picture” thinking...Understanding impacts of decisions on network as a whole
Extremely effective oral/written communication skills
Desire to work in a startup environment

Your background would include.....

Extensive knowledge of the Greater Cincinnati healthcare market
Experience and relationships in Ohio provider community
5+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based/risk
Experience negotiating Medicare Advantage contracts
Provider servicing experience
Solid ability to navigate either Google or MS Suite of products
High School Diploma or equivalent minimum

#LI-EM1

If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you! If you lack a specific credential for this position but believe that your strengths and life experiences will propel our mission, we would love to hear from you.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

COVID-19 Vaccination Requirement: Where permitted by applicable law, candidates must have received or be willing to receive the COVID-19 vaccine by date of hire to be considered. The Company will provide reasonable accommodations to qualified employees with disabilities or for a sincerely held religious belief, practice, or observance.

About Devoted Health

Devoted Health is a new health care company serving seniors. Aiming to launch Medicare Advantage plans in 2019, our mission is to build a health care solution good enough for Mom. We will be devoted to the health and wellness of our members by helping them navigate the health care system with personal guides, by utilizing world-class technology to enable a simplified experience, and by partnering with top providers for better health outcomes.