Regional Network Director managing vendor relationships in the mortgage services sector. Overseeing performance management and resolving escalated issues within a defined territory.
About the role
- Provider Network Management Director develops provider networks for Medicare in Arkansas through contract negotiations and relationship management with health systems. Leading complex negotiations and serving as a subject matter expert in the field.
Responsibilities
- develops the provider network in Arkansas through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups
- contracting and negotiating contract terms for Medicare, Medicaid, and ACA programs
- serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning
- serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process
- typically serves as lead contractor for large scale, multi-faceted negotiations
- conducts the most complex negotiations
- prepares financial projections and conducts analysis
Requirements
- Requires a BA/BS degree
- minimum of 8 years’ experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing
- experience must include prior contracting experience
- Medicare network contracting/reimbursement methodology strongly preferred
- Medicaid and Commercial network contracting preferred
- experience building networks with integrated delivery health systems strongly preferred
- knowledge of Value-Based Contracts preferred
- Contraxx, Facets, SPS preferred
- experience using financial models and analysis to negotiate rates with providers strongly preferred
Benefits
- merit increases
- paid holidays
- Paid Time Off
- incentive bonus programs
- medical
- dental
- vision
- short and long term disability benefits
- 401(k) + match
- stock purchase plan
- life insurance
- wellness programs
- financial education resources
Job title
Job type
Experience level
Salary
Not specified
Degree requirement
Location requirements
Director Installation at Dematic Corp. leading installation efforts and managing customer projects. Ensuring quality execution, team leadership, and project management in the supply chain solutions industry.
Head of Benefits overseeing the strategic direction and management of benefits programs for U.S. and North America. Ensuring compliance, cost - effectiveness, and exceptional service delivery across regions.
Director overseeing the compliance, growth, and strategic direction of RTX's classified enterprise networks. Leading Enterprise Networks team and driving security and innovation in services and capabilities.
Associate Director leading the Classified Networking organization for Raytheon Digital Technology. Managing technical planning, budget, and team development across multiple locations.
Responsable du développement de projets immobiliers pour une entreprise à Boisbriand, Québec. Dirigeant une équipe et collaborant étroitement pour exécuter des projets immobiliers réussis.
Director of Product Research & Insights at Tinder driving UX Research strategy and team development. Influence product roadmaps and executive decision - making for enhancing user experience.
Program Safety Lead at Ascendis Pharma responsible for safety excellence and strategy in a global biopharmaceutical context. Leading pharmacovigilance activities for endocrinology products and collaborating with cross - functional teams.
Regional Sales Manager driving sales performance and coaching Key Account Managers for Nordic Pharma in the Ophthalmology space. Seeking a dynamic leader with medical device sales experience.
Director of Imaging Services overseeing diagnostic imaging services for Trinity Health in Langhorne, PA and Northeast Philadelphia. Responsible for strategic development, operations, and management across multiple imaging modalities.