Provider Network Development Manager

4 days ago


Stockton, California, United States WelbeHealth Full time
Job Description

Job Summary:

We are seeking a highly skilled Provider Network Development Manager to join our team at WelbeHealth. As a key member of our Health Plan Services team, you will play a critical role in developing and maintaining our provider network across various markets.

Key Responsibilities:

  • Network Development: Develop and maintain relationships with healthcare providers, hospitals, and ancillary services to ensure optimal network coverage and quality of care for our participants.
  • Contract Negotiation: Negotiate and manage contracts with providers, ensuring compliance with regulatory requirements and optimal rates for our organization.
  • Market Analysis: Conduct market analysis to identify opportunities for network development and expansion, and develop strategies to achieve our goals.
  • Collaboration: Collaborate with cross-functional teams, including market-based leadership, to ensure seamless implementation of network development initiatives.

Requirements:

  • Experience: Minimum of three (3) to five (5) years of experience in contract negotiation, managed care, healthcare administration, with at least three (3) years of direct experience in Medicare/Medi-Cal contracting required.
  • Skills: Ability to comprehend and oversee contracting across varying regulatory environments and requirements, proven success leading network development efforts as a new entrant health plan.
  • Education: Bachelor's degree preferred, or an additional four (4) years of experience in lieu of education.
  • Location: Local to the greater Northern California region with the willingness to travel on-site as needed to providers' offices, hospitals, etc.

Benefits:

  • Competitive Salary: Salary/Wage base range for this role is $109,240.54—$131,088.64 USD annually + Bonus + Equity.
  • Total Rewards Package: WelbeHealth offers a comprehensive total rewards package that includes, 401k match, healthcare coverage, and a broad range of other benefits.


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