Network Manager

1 week ago

Boston, United States eternalHealth, The Next Generation of Medicare Advantage Full time

Network Manager


(On-site in Boston, MA)


eternalHealth – The Next Generation of Medicare Advantage


Healthcare is confusing, but it doesn’t need to be. As a consumer-centric HMO based in Boston, MA we are a Medicare Advantage start up that is committed to creating long-lasting partnerships with our members, our providers, and you


About the role: As a Network Manager with eternalHealth you will report to the Vice President of Network. This role supports the end-to-end process of building and maintaining our high-quality network. This includes supporting the ongoing development and growth of our provider network through recruiting, contracting, and day-to-day management of our provider communication and workflow management. In this highly valued role, you will help to drive the growth and improvement of our plan and be involved in all steps of network development and contracting.


We provide a unique opportunity to be a part of a health plan in its beginning stages and by taking advantage of this rare opportunity, you will be able to have insight into all of the operations and expertise that are required to run a successful and sustainable plan. Our team members are flexible and have the ability to play different roles, while staying committed to teamwork and collaboration, and passionate about sustainable change.


Responsibilities:


• As a Network lead, partner closely with relevant stakeholders, and team members, to define and improve the provider recruitment process.

• Take the lead on the network development & contracting processes.

• Accountable for the development and enhancement of network relationships through business interactions and outreach.

• Resolve network issues in a timely and effective manner.

• Proactively elicit provider feedback to improve their overall Plan experience.

• Collaborate with relevant stakeholders to deliver education, training, and information on eternalHealth products and strategy.

• Oversight and accountability of all provider data management functionality to include roster management, data validation and management, special projects, and gap/expansion strategy.

• Proficiently utilize the Quest Analytics tool to create, analyze, and provide strategic direction on network adequacy and expansion opportunities.

• Communicate our brand, values, and differentiators effectively and accurately.

• Identify and work on growth opportunities.

• Maintain strict privacy and confidentiality in accordance with eternalHealth’s security standards.

• Oversight and monitoring of all communication received through the provider relations email box; responding timely, accurately, and efficiently

• Additional duties as assigned.


Requirements:


• Bachelor’s degree in relevant field of study (e.g., Business Administration, Biomedical Sciences, Data Analytics, Healthcare Operations/Administration) or equivalent.

• Minimum 4-5 years of experience in managed healthcare, health plan network contracting, and provider relations experience required.

• Strong technical skills, including with Microsoft Suite and other collaborative tools.

• You’re a relationship builder and customer service focused.

• Effectively communicate needs, process improvements, and wins with your network team and C-Suite officers.

• Excellent written, negotiation, and communication skills.

• Creative, strategic, and continuously striving for improvement.

• Ability to present information to audiences of various skill levels.

• Flexible and able to ramp up quickly on different projects in order to support the team as needed in a fast-paced start-up environment.

• Strong organization skills to sift through large amounts of data to gain insight on

members and markets.


Preferred:

• Experience in client-facing negotiating roles, and/or in start-ups, tech, healthcare, or insurance is a plus.

• Experience with healthcare operations is a plus.


Working with eternalHealth: eternalHealth is an Equal Opportunity Employer which means that we are committed to upholding discrimination-free hiring practices. As a woman-led company, and one committed to diversity at all levels, we strive for an organization of inclusion and acceptance. We are changing healthcare for the better, starting with our own diverse and passionate teams. As an eternalHealth employee you will be empowered to contribute to our teams and strategy, regardless of previous healthcare experience. Our valued team members are encouraged and expected to offer new solutions and creative input, all while keeping in line with eternalHealth’s mission, values, and compliance standards.


Accommodation: Any eternalHealth applicant will be considered based entirely on their individual qualifications. Should you require reasonable accommodation during the application process (which may include a job-related assessment) please contact us separately.

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