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Director Network Management
1 month ago
Director Network Management-Wisconsin Location: This position will work a hybrid model (remote and office). The Director Network Management is responsible for network development and provider reimbursement for the state of Wisconsin. How you will make an impact: Oversees contracting and maintenance of all health systems, hospital and physician groups. Maintain and develop networks for commercial, Medicare and Medicaid lines of business. Participate in core business processes around provider data, claims and provider services. Collaborate directly with the provider relations team. Assist in developing strategy for physician risk contracts and capitated arrangement. Attracts, develops, and manages contracting staff. Develops innovative ways to maintain a cost-effective network with adequate access and positive working relationships with providers. Hires, trains, coaches, counsels, and evaluates performance of direct reports. Supports change internally and externally in order to drive results. Fosters positive relationships with key providers. Minimum Qualifications: Requires a BS/BA degree in business administration or related healthcare field and a minimum of 8 years healthcare operations, finance, underwriting, actuary, network development and sales experience; or any combination of education and experience, which would provide an equivalent background. Preferred Skills, Capabilities and Experiences: Strongly preferred CPA or MBA degree. Experience in managing a diverse, professional team. Strong Communication skills to encompass verbal and written across all areas of the organization.
