About this role
About the Role
Lead recruitment and negotiation of PCP, specialist, and ancillary provider contracts per company and state guidelines, while building new networks and optimizing existing ones, managing provider rosters and oversee post-contract intake, including credentialing, contracting, and loading. Our Values: Put Patients First Empower Entrepreneurial Provider and Care Teams Operate with Integrity & Excellence Be Innovative Work As One Team Manage end-to-end recruitment and negotiation of regional and/or national providers (PCP, specialists, and ancillary providers) from sourcing through contract execution in accordance with corporate, health plan, and state guidelines for assigned regions.
Manage net new contracts and amendments to support network operations and provider and member growth, while coordinating with contracting, legal, provider data management, credentialing, and other applicable internal teams to ensure all new contracts and amendments are loaded completely, accurately, and on time. Manage relationships with high-value network providers by indirectly supporting their operational, financial, and clinical success through provider relations teams and the market leader. Define, launch, and monitor network reporting for assigned functions including network adequacy goals, metrics, and identifying targets for network build-out, management of rosters, and driving provider question and issue resolution. Initiate and lead occasional meetings with health plans and corporate teams, including executive management, to review provider performance data, scorecards, and partnership strategy.