Network Development Manager

Wellpath
US - Tennessee - Nashville
November 11, 2024

You Matter :
Make a difference every day in the lives of the underserved
Join a mission driven organization with a people first culture
Excellent career growth opportunities

Join us and find a career that supports:
Caring for overlooked, underserved, and vulnerable patients
Diversity, equity, inclusion, and belonging
Autonomy in a warm team environment
Growth and training
Perks and Benefits
In addition to comprehensive benefits including medical, dental, vision, paid time off, and 401k, we foster a work, life balance for team members and their family to support physical, mental, and financial wellbeing including:
DailyPay, receive your money as you earn it!
Tuition Assistance and dependent Scholarships
Employee Assistance Program (EAP) including free counseling and health coaching
Company paid life insurance
Tax free Health Spending Accounts (HSA)
Wellness program featuring fitness memberships and product discounts
Preferred banking partnership and discounted rates for home and auto loans
• Eligibility for perks and benefits varies based on employee type and length of service.
Why Us :
Now is your moment to make a difference in the lives of the underserved.
If there is one unifying characteristic of everyone on our team, it is the deep desire to make a difference by helping society's most vulnerable and often overlooked individuals. Every day we have the distinct honor and responsibility to show up with non-judgmental compassion to provide hope and healing to those who need it most. For those whose calling it is to serve others, now is your moment to join our mission to provide quality care to every patient with compassion, collaboration, and innovation, to live our mantra to Always Do The Right Thing!, and to collectively do our part to heal the world, one patient at a time.
Wellpath sees hundreds of thousands of unique individuals in their facilities month over month and a very large percent of those individuals receive direct clinical care, which includes lives saved by Narcan.
We offer ongoing training and development opportunities for licensed and unlicensed healthcare team members, and have best in class clinical resources for training, education, and point of care support.
How you make a difference :
The Network Development Manager is responsible for the strategic development, management, and performance of the company's network of preferred providers, ensuring access to qualified out-of-facility providers at optimal costs and locations. This role involves negotiating and executing provider contracts, conducting high-level reviews and analyses, and resolving disputes with complex regional or national providers. The Manager collaborates closely with operations to align provider networks with company standards, addressing contract and claims issues while optimizing the network for accessibility, quality, and financial performance.

Key Responsibilities :
Possesses in-depth knowledge of the managed care industry, including competitor strategies, practices, and financial/contracting arrangements, with the ability to identify and capitalize on marketing opportunities to support program delivery.

Demonstrates excellent analytical, leadership, communication, and presentation skills, along with strong written and verbal communication abilities.

Maintains exceptional customer service skills, working collaboratively with multiple business areas to achieve goals.

Exhibits attention to detail and critical thinking skills, with the ability to analyze, identify, and report on significant changes to network adequacy and apply sound judgment in diverse scenarios.

Capable of working effectively under stress, accurately following standardized procedures while adapting as needed to practical and emergency situations.

Qualifications & Requirements :
Education
Bachelors degree in related field or equivalent experience.
Experience
Minimum 4+ years related experience and expert level negotiation skills with successful track record negotiating contracts with large or complex national providers.
Experience with provider contracts, contracting options, contract terms, reimbursement structure (Medicare/Medicaid) as well as provider configurations.
Position requires strong skills in MS WORD, EXCEL, PowerPoint, and Outlook
Salesforce experience.
Licenses/Certifications
None required.

We are an Equal Employment Opportunity / Affirmative Action Employer :
We celebrate diversity and are committed to creating an inclusive environment for all employees.
We encourage you to apply! If you are excited about a role but your experience doesnt seem to align perfectly with every element of the job description, we encourage you to apply. You may be just the right candidate for this, or one of our many other roles.
Deadline to apply to this position is contingent upon applicant volume. Those positions located in Colorado will have a specific deadline posted in the job description.

Read the full job description and apply online on the recuiter's web-site

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