Provider Network Manager

Full Time
CA, FL, IL, NJ, NY, Remote, TX
Posted 3 weeks ago

Job Description:

The Provider Network Manager is part of the Integra Connect’s go-to-market team leading the provider aggregation efforts in a defined geography aiming to secure contracts with oncologists to adopt one of Integra Connect’s provider facing offerings. The Provider Network Manager will call on providers from all care settings (community/private practice, integrated health systems, academic medical centers, etc.), to expand the footprint of Integra Connect’s provider network.

Responsibilities:

  • Develops an oncology provider network through relationship development, contracting & negotiations
  • Recruits providers to ensure attainment of network expansion
  • Acts as the communications liaison between providers and company resources during the contracting process
  • Coordinates and executes regional events
  • Ensures resolution of escalated issues related, but not limited to, claims payment, contract interpretation and parameters, or accuracy of provider contract or demographic information
  • Manages contract performance and supports the development and implementation of value-based contract relationships in support of business strategies
  • Cross-sells additional products and services
  • May optimize interaction with assigned providers and internal business partners to manage relationships to ensure provider needs are met
  • Collaborates cross-functionally to manage provider compensation and pricing development activities, submission of contractual information, and the review and analysis of reports as part of negotiation and reimbursement modeling activities
  • Responsible for identifying and managing cost issues and initiating appropriate cost saving initiatives and/or settlement activities
  • Serves as SME for less experienced team members and internal partners
  • Assists with the design, development, management, and or implementation of strategic network configurations and integration activities

Qualifications:

  • Bachelor’s Degree preferred
  • 5+ years’ experience selling payor solutions to provider offices
  • Strong understanding of the payor landscape
  • Proven ability to build, maintain and measure a balanced sales pipeline
  • Demonstrated ability to meet and exceed sales goals on a regular basis
  • Ability to work effectively under pressure, in a fast-paced, dynamic environment
  • Ability to travel up to 75% regionally

Benefits:

Integra Connect, LLC provides a comprehensive benefits plan.

  • Medical/Dental/Vision Insurance beginning the 1st of the month following your date of hire
  • Paid Time Off
  • 401k with employer match
  • Paid Holidays and Floating Holiday

Equal Opportunity Employer

Job Features

Job CategorySales

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