Senior Manager managing provider contracts and network performance in a hybrid role at Alignment Health. Focused on enhancing contracted provider experience and achieving key performance metrics.
Responsibilities
Responsible for contracting with all provider types
Collaborate with Network Management leadership in developing contracting strategy
Recruit providers to eliminate network deficiencies
Negotiate and finalize all contracts
Manage staff and assure day-to-day operations of the provider network are consistent with standards
Develop agendas and lead Joint Operations Meetings to drive results
Ensure accurate and timely data reporting requirements are being met
Research, analyze and resolve complex problems
Requirements
Minimum 5-7 years’ experience with HMO, managed care provider organization or insurance company
5 years’ specific experience in managed care contracting
Bachelor’s Degree or equivalent experience required
Proficient in MS Office, with strong Word and Excel proficiency
Ability to read and interpret contracts and government regulations
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