Network Manager

8 days ago

  • Shared Services
  • Remote
  • Full Time

Job Description:

The Network Manager is part of the Integra Connect’s go-to-market team leading the provider aggregation efforts in a defined geography aiming to drive success with the Integra Connect’s value-based care programs. 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 success of Integra Connect’s provider network.

Responsibilities:

  • Develops an oncology provider network through relationship development, contracting & negotiations
  • Acts as the communications liaison between providers and company resources during the contracting process
  • Recruits providers to ensure attainment of network expansion
  • Cross-sells and generates leads for additional products and services
  • 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
  • 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
  • 3+ years’ experience selling payor solutions to provider offices
  • Strong understanding of payer provider networks and value based-care programs
  • Strong account management experience
  • Demonstrated ability to strengthen and grow business withing accounts
  • Ability to work effectively under pressure, in a fast-paced, dynamic environment
  • Strong computer skills including the ability to effectively utilize and navigate Salesforce.com
  • Excellent verbal and written communication skills as well as excellent presentation skills using those skills to write, develop and present written proposals and presentations
  • Ability to travel up to 50% 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

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