Director, Provider Network Development and Relationship Management
2 weeks ago
John Hancock is currently transforming our Long Term Care business to help our customers age in place and receive the care that they need to live as independently as possible. This team focuses on providing access to high-quality and affordable long-term care providers to our customers when they need it.
The Director, Provider Network Development & Relationship Management, is responsible for leading the development, optimization, and strategic oversight of our provider network. This role is responsible for ensuring network adequacy, driving value, and fostering strong relationships with healthcare providers, network partners, and internal stakeholders. The ideal candidate brings a blend of business development, contract negotiation skills, strategic thinking, and a passion for improving healthcare access and quality across diverse populations for our long-term care policyholders.
Position Responsibilities:
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Network Strategy & Design: Lead cross-functional team to deliver the design, development, and expansion of provider networks to meet regulatory, service coverage, and business objectives.
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Contracting & Negotiation: Drive & lead provider network contracting processes, ensuring competitive and compliant agreements with measurable discounts
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Stakeholder Engagement: Directly manage key provider network relationships with internal stakeholder teams (product, sales, operations, IT)
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Data & Performance Management: Track, monitor and manage network performance metrics, data quality, and KPIs; implement improvements based on analytics and feedback.
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Technology Integration: Proactively collaborate with IT vendors to streamline scheduling, data exchange, and provider onboarding processes.
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Regulatory Compliance: Ensure adherence to HIPAA, CMS, and state-specific regulations, particularly in Medicaid and Medicare environments.
Required Qualifications:
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Bachelor's degree required; Master's in Healthcare Administration, Public Policy, or related field preferred
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8 -15+ years in provider network management, healthcare contracting, or payer strategy roles
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Familiarity with CRM systems, EHR/EMR platforms, and provider data management tools
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In-depth knowledge of sourcing and procurement principles and best practices; in-depth experience and expertise with supplier contractual terms and conditions to mitigate legal and business risk
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Strong negotiation and relationship-building abilities
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Strategic planning and execution
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Financial and pricing analysis
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Excellent communication and presentation skills
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Ability to manage complex projects and competing priorities
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Background in provider networks
When you join our team:
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As part of our global team, we'll support you in shaping the future you want to see.
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We'll empower you to learn and grow the career you want.
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We'll recognize and support you in a flexible environment where well-being and inclusion are more than just words.
Acerca de Manulife y John Hancock
Manulife Financial Corporation es un importante proveedor internacional de servicios financieros que ayuda a las personas a tomar decisiones de una manera más fácil y a vivir mejor. Para obtener más información acerca de nosotros, visite http://www.manulife.com .
Manulife es un empleador que ofrece igualdad de oportunidades
En Manulife/John Hancock, valoramos nuestra diversidad. Nos esforzamos por atraer, formar y retener una fuerza laboral tan diversa como los clientes a los que prestamos servicios, y para fomentar un entorno laboral inclusivo en el que se aprovechen las fortalezas de las culturas y las personas. Estamos comprometidos con la equidad en las contrataciones, la retención de talento, el ascenso y la remuneración, y administramos todas nuestras prácticas y programas sin discriminación por motivos de raza, ascendencia, lugar de origen, color, origen étnico, ciudadanía, religión o creencias religiosas, credo, sexo (incluyendo el embarazo y las afecciones relacionadas con este), orientación sexual, características genéticas, condición de veterano, identidad de género, expresión de género, edad, estado civil, estatus familiar, discapacidad, o cualquier otro aspecto protegido por la ley vigente.
Nuestra prioridad es eliminar las barreras para garantizar la igualdad de acceso al empleo. Un representante de Recursos Humanos trabajará con los solicitantes que requieran una adaptación razonable durante el proceso de solicitud. Toda la información que se haya compartido durante el proceso de solicitud de adaptación se almacenará y utilizará de manera congruente con las leyes y las políticas de Manulife/John Hancock correspondientes. Para solicitar una adaptación razonable en el proceso de solicitud, envíenos un mensaje a recruitment@manulife.com .
Ubicación principal
Boston, Massachusetts
Modalidades de Trabajo
Híbrido
Se prevé que el rango salarial esté entre
$120,750.00 USD - $217,350.00 USD
Si se está postulando para este puesto fuera de la ubicación principal, póngase en contacto con recruitment@manulife.com para conocer el rango salarial de su ubicación. El salario real variará según las condiciones locales del mercado, la geografía y los factores relacionados con el trabajo pertinentes, como conocimiento, habilidades, calificaciones, experiencia y educación/capacitación. Los empleados también tienen la oportunidad de participar en programas de incentivos y obtener una compensación de incentivos vinculada al desempeño comercial e individual.
Manulife/John Hancock ofrece a los empleados aptos una amplia variedad de beneficios personalizables, entre ellos, beneficios de salud, odontológicos, de salud mental, oftalmológicos, por discapacidad a corto y a largo plazo, cobertura de seguro de vida y por muerte accidental y desmembramiento, adopción/subrogación y bienestar, y planes de asistencia al empleado/familiar. También ofrecemos a los empleados admisibles varios planes de ahorro para la jubilación (incluidos planes de ahorro 401(k) o de pensiones y un plan mundial de propiedad de acciones con contribuciones equivalentes del empleador) y recursos de asesoramiento y educación financiera. Nuestro generoso programa de días libres pagos en EE. UU. contempla hasta 11 días festivos, 3 días personales, 150 horas de vacaciones y 40 horas de licencia por enfermedad (o más cuando lo exija la ley) por año, y ofrecemos todos los tipos de licencias contempladas por la ley.
Conozca sus derechos (https://www.dol.gov/agencies/ofccp/posters)
Permiso Familiar y Médico
Ley de Protección del Empleado contra el Examen Poligráfico (https://www.dol.gov/sites/dolgov/files/WHD/legacy/files/eppac.pdf)
Derecho al Trabajo
Verificación Electrónica (E- Verify )
Transparencia Salarial (https://www.dol.gov/sites/dolgov/files/ofccp/pdf/pay-transp_%20English_formattedESQA508c.pdf)
Company: John Hancock Life Insurance Company (U.S.A.)
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