We are looking for a Director Provider Network Strategy & Contracting, to join in leading the ... Schedule: Full-time * Requisition ID: 26010295 * Daily Work Times: 8:30 AM - 5:00 PM * Hours Per ...
We are looking for a Director Provider Network Strategy & Contracting, to join in leading the ... Schedule: Full-time * Requisition ID: 26010295 * Daily Work Times: 8:30 AM - 5:00 PM * Hours Per ...
Associate Director, Provider Network Operations & Planning
Brighton, MA ยท On-site
$115K - $145K/yr
Associate Director, Provider Network Operations & Planning Job Type: Full-time Location: Hybrid 4 days per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us BrightonOne is a ...
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Associate Director, Provider Network Operations & Planning
Brighton, MA ยท On-site
$115K - $145K/yr
Associate Director, Provider Network Operations & Planning Job Type: Full-time Location: Hybrid 4 days per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us BrightonOne is a ...
Associate Director, Provider Network Operations & Planning
Brighton, MA ยท On-site
$115K - $145K/yr
Associate Director, Provider Network Operations & Planning Job Type: Full-time Location: Hybrid 4 days per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us BrightonOne is a ...
Associate Director, Provider Network Operations & Planning
Brighton, MA ยท On-site
$115K - $145K/yr
Associate Director, Provider Network Operations & Planning Job Type: Full-time Location: Hybrid 4 days per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us BrightonOne is a ...
Project Manager, Provider Network Contract Validation
Woonsocket, SD ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Woonsocket, SD ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Farmington, CT ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Farmington, CT ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Associate Director, Provider Network Operations & Planning
Brighton, MA ยท Hybrid
$115K - $145K/yr
Associate Director, Provider Network Operations & Planning Job Type: Full-time Location: Hybrid 4 days per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us BrightonOne is a ...
Associate Director, Provider Network Operations & Planning
Brighton, MA ยท Hybrid
$115K - $145K/yr
Associate Director, Provider Network Operations & Planning Job Type: Full-time Location: Hybrid 4 days per week in Brighton, MA office; 1 day remote FLSA Status: Exempt About Us BrightonOne is a ...
Project Manager, Provider Network Contract Validation
New York, NY ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
New York, NY ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Franklin, TN ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Franklin, TN ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Vice President, Provider Network Contracting
Denver, CO ยท On-site
$159K - $273K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Vice President, Provider Network Contracting
Denver, CO ยท On-site
$159K - $273K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Project Manager, Provider Network Contract Validation
New Albany, OH ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
New Albany, OH ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Associate Director, Provider Network Contracting
Dallas, TX ยท Remote
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 - $193,200 annually based on full-time employment.
Associate Director, Provider Network Contracting
Dallas, TX ยท Remote
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 - $193,200 annually based on full-time employment.
Project Manager, Provider Network Contract Validation
Chicago, IL ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Chicago, IL ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Wellesley, MA ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Wellesley, MA ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Scottsdale, AZ ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Project Manager, Provider Network Contract Validation
Scottsdale, AZ ยท On-site
$60K - $159K/yr
By working closely with other areas of the company such as Network, Provider Data Services, Next ... This fulltime position is eligible for a comprehensive benefits package designed to support the ...
Associate Director, Provider Network Contracting
New Orleans, LA ยท On-site
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 to $193,200 annually based on full-time ...
Associate Director, Provider Network Contracting
New Orleans, LA ยท On-site
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 to $193,200 annually based on full-time ...
Vice President, Provider Network Contracting
Denver, CO ยท On-site
$159K - $273K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Vice President, Provider Network Contracting
Denver, CO ยท On-site
$159K - $273K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Vice President, Provider Network Contracting
Indianapolis, IN ยท On-site
$159K - $273K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Vice President, Provider Network Contracting
Indianapolis, IN ยท On-site
$159K - $273K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $159,300 - $273,200 annually based on full-time employment.
Associate Director, Provider Network Contracting
New Orleans, LA ยท On-site
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 to $193,200 annually based on full-time ...
Associate Director, Provider Network Contracting
New Orleans, LA ยท On-site
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 to $193,200 annually based on full-time ...
Senior Provider Network Contract Manager
Brentwood, TN ยท Remote
$91K - $163K/yr
Demonstrate expertise in provider network functions, ability to work in a fast-paced environment ... The salary for this role will range from $91,700 - $163,700 annually based on full-time employment.
Senior Provider Network Contract Manager
Brentwood, TN ยท Remote
$91K - $163K/yr
Demonstrate expertise in provider network functions, ability to work in a fast-paced environment ... The salary for this role will range from $91,700 - $163,700 annually based on full-time employment.
Associate Director, Provider Network Contracting
Dallas, TX ยท On-site
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 - $193,200 annually based on full-time employment.
Associate Director, Provider Network Contracting
Dallas, TX ยท On-site
$112K - $193K/yr
... of provider networks as well as unit cost management activities through financial and network ... The salary for this role will range from $112,700 - $193,200 annually based on full-time employment.
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Director Provider Network Strategy and Contracting
Flint, MI โข On-site
Full-time
This job post hasย expired today.ย Applications are no longer accepted.
Job description
McLaren Health Plan (MHP) is a company with a culture of high performance and a mission to help people live healthier and more satisfying lives.ย We are looking for a Director Provider Network Strategy & Contracting, to join in leading the organization forward.
MHP is a Managed Care Organization dedicated to meeting the health care needs of each member.ย MHP offers multiple product lines, including individual and family plans, and Medicaid and Medicare plans to Michigan residents for every stage of life.ย McLaren Health Plan is accredited by the National Committee for Quality Assurance (NCQA).
MHP values the talents and abilities of all our employees and seeks to foster an open, cooperative and dynamic environment in which employees and the health plan can thrive. As an employee of MHP,ย you will be a part of a dynamic organization that considers all our employees as leaders in driving the organization forward and delivering quality service to all our members.
Learn more about McLaren Health Plan atย https://www.mclarenhealthplan.org
Position Summary:
The Director of Provider Network Strategy & Contracting is responsible for managing the health plan's end-to-end provider network. They are responsible for the overall contracting strategy, advancing affordability and quality goals, and driving competitive market performance across the Medicaid, Medicare, and Commercial lines of business. This role is responsible for ensuring access, competitive positioning, and alignment with product and market objectives. They identify network gaps, analyze network performance, and lead strategic contracting initiatives that strengthen the plan's market presence. This leadership position is responsible for all value-based and alternative payment arrangements, supporting new market entry, conducting due diligence to guide expansion decisions, maintaining strong provider partnerships, and ensuring the network is positioned to support growth, differentiation, and regulatory readiness. This position is responsible for leading cross functional governance across the clinical, financial, and operational teams, ensuring that network strategy aligns with affordability, quality, and performance priorities. They monitor provider network performance across cost, utilization, and quality outcomes, develop high impact provider engagement tools, and anticipate regulatory and industry shifts to keep the organization ahead of market change.
Qualifications:
Required:
Bachelor's degree in business administration, healthcare administration, or related field.
Eight (8) years of experience in provider network management, provider contracting, or value-based payment (VBP) to include three (3) years of experience in government programs (Medicaid, Medicare, MA/D SNP) while leading multi-market provider contracting or network development programs with at least three (3) years in a supervisory role leading or assisting in all phases of effective supervision (i.e. Recruitment, performance management, training).
- Valid state driver's license, reliable transportation, and automobile insurance coverage required and maintained throughout employment.
Preferred:
Master's degree in business administration, healthcare administration, or related field.
- Direct experience in Michigan Managed Care markets and/or integrated delivery systems.
- Familiarity with actuarial concepts, risk adjustment, and population health analytics.
- Schedule: Full-time
- Requisition ID: 26010295
- Daily Work Times: 8:30 AM - 5:00 PM
- Hours Per Pay Period: 80
- On Call: No
- Weekends: Yes