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Provider Network Manager

Devoted Health

Devoted Health

Administration
Multiple locations
Posted on Saturday, May 11, 2024

At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission!

Job Description

MUST BE LOCATED IN ATLANTA GEORGIA METRO AREA

A bit about this role:

This is a key role in our organization. The role will be responsible for network development and management along with servicing for an assigned geographic area. The ideal candidate will possess 5+ years experience in recruiting and managing provider networks along with negotiating, reviewing and amending contracts. This experience will include thorough knowledge of contracting with physicians and physician groups using various payment methodologies including value based / risk. Ideally, the candidate will possess a very high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences. Innovation, independence and confidence are key competencies that need to be exhibited.

Your Responsibilities and impact will include:

  • Development, maintenance and management of an adequate provider network in assigned geographical area

  • Maintaining relationships and all provider relations activities in assigned geographical area

  • Negotiating and renegotiating contracts with physicians and provider groups as assigned

  • Monitoring of various reports to insure all necessary compliance requirements are met and maintained

  • Reporting to leadership current status, risks, and potential opportunities in area of responsibility on a regular basis

  • Support of overall Network Team as required to achieve success for Devoted Health

  • Supporting assigned groups to improve performance in CMS STAR measures

Required skills and experience:

  • Extensive knowledge of the Georgia healthcare market

  • Experience negotiating Medicare Advantage contracts

  • Ability to analyze financial reports and identify trends/variances“Big Picture” thinking...Understanding impacts of decisions on network as a whole

  • Extremely effective oral/written communication skills

  • Ability to make quick, independent decisions

  • Attention to detail

Desired skills and experience:

  • Experience and relationships in the Georgia provider community

  • 5+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based/risk

  • Provider servicing experience

  • Desire to work in a startup environment

  • Solid ability to navigate either Google or MS Suite of products

  • High School Diploma or equivalent minimum


If you love running towards complex challenges and transforming them into solutions, if you want to make a potentially huge impact on many lives, and if you are looking for a disruptive startup with an inspiring and talented team, Devoted Health may be the place for you!

Salary range: $75,000 - $90,000/ year

Our ranges are purposefully broad to allow for growth within the role over time. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered may depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job.

Our Total Rewards package includes:

  • Employer sponsored health, dental and vision plan with low or no premium

  • Generous paid time off

  • $100 monthly mobile or internet stipend

  • Stock options for all employees

  • Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles

  • Parental leave program

  • 401K program

  • And more....

*Our total rewards package is for full time employees only. Intern and Contract positions are not eligible.

Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce.

Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business.

As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.