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Senior Director, Provider Network Development
2 months ago
Quartz Health Solutions is seeking a seasoned leader to join our team as a Senior Director, Provider Network Development. This is a critical role that will play a key part in shaping our provider network strategy and driving business growth.
Key Responsibilities- Provider Network Development
- Develop and execute a comprehensive provider network strategy to drive business growth and improve network adequacy.
- Build and maintain strong relationships with key stakeholders, including healthcare delivery systems, medical groups, and individual providers.
- Collaborate with cross-functional teams to identify and pursue new business opportunities and partnerships.
- Contracting and Negotiation
- Develop and implement contracting strategies to optimize network performance and drive revenue growth.
- Negotiate contracts with healthcare delivery systems, medical groups, and individual providers to ensure favorable terms and conditions.
- Manage and resolve contract disputes and issues in a timely and professional manner.
- Network Management
- Oversee the development and implementation of network management strategies to ensure network adequacy and quality.
- Monitor and analyze network performance metrics to identify areas for improvement.
- Develop and implement corrective actions to address network performance issues.
- Leadership and Team Management
- Lead and manage a high-performing team of provider network development professionals.
- Provide coaching, guidance, and development opportunities to team members to ensure their success and growth.
- Collaborate with other leaders to develop and implement organizational strategies and initiatives.
- Bachelor's degree in business, healthcare administration, or related field.
- 15+ years of experience in the healthcare industry, with a minimum of 5 years in a senior leadership role.
- Proven track record of success in provider network development, contracting, and negotiation.
- Strong understanding of healthcare and health plan operations, including risk adjustment and quality measures.
- Excellent communication, negotiation, and leadership skills.
- Ability to work in a fast-paced environment and prioritize multiple tasks and projects.
Quartz Health Solutions offers a competitive compensation and benefits package, as well as opportunities for career growth and development. We are an equal employment opportunity employer and value diversity and inclusion in the workplace.
