Lead Director, Network Management
Core
Design conceptual models, plan initiatives, and negotiate Commercial/Medicare Advantage agreements with Texas providers to maintain and enhance provider networks.
Role type
Senior IC network management director (health plan contracting)
Builds
Commercial and Medicare Advantage provider networks
Domain
Health insurance / Medicare Advantage contracting
Required skills
expert-level negotiation, provider financial analysis, complex contracting strategy, regulatory compliance, cost and quality improvement
Preferred skills
Commercial/Medicare Advantage fee-for-service contracting, value-based contracting, regulatory experience
Responsibilities
Negotiate contracts with health systems, clinically integrated networks, IPAs, and FQHCs; ensure consistency with contracting strategies; meet accessibility, quality, compliance, and financial goals.
Seniority
Director, strategic planning & execution
