Network Relations Manager - Remote

City/State
Virginia Beach, VA

Overview

Work Shift
First (Days) (United States of America)

Job description

Sentara Healthcare is hiring a Network Relations Manager! This role is 100% Remote.

Must have permanent residence is one of the following states: FL, GA, IN, MD, NV, SC, NC, SD, TN, TX, WA, VA, WV, WI

Sentara Healthcare is a Virginia and Northeastern North Carolina based not-for-profit integrated healthcare provider. Offering hundreds of sites of care including 12 hospitals and multiple services that supports an 858,000 member health plan.

Optima Health-Northern Virginia area hiring Network Relations Manager.

Responsible for the development and design of the provider network through contract negotiations and relationship development. Assists in the preparation of financial projections and strategic planning. Responsible for managing the financial and operational performance of the provider network and compliance with contractual terms.

Under direction of the Director of the Medicare Stars Network Relations Manager is responsible for managing one or more mid-size to complex projects to support the Medicare Stars Member and Provider strategic initiatives or the Stars Clinical and Pharmacy strategic initiatives.

Responsibilities:

• Develop relationships with the provider network.
• Help negotiates provider contracts.
• Assists in the preparation of financial projections and strategic planning.
• Responsible for managing the financial and operational performance of the provider network and compliance with contractual terms.

Qualifications:

• Bachelor's Degree in a related field
• 5 years of Healthcare Management experience.
• 5 years of Managed Care Experience.
• Commercial facility contract negotiations experience. Such as fixed pricing payment methodologies, chargemaster cap management and ability to achieve market competitive rates (including decreases).

Sentara Benefits:
Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace.

For more information about our employee benefits, https://www.sentaracareers.com/explore-sentara/benefits/

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

Job Summary

Responsible for the development and design of the provider network through contract negotiations and relationship development. Assists in the preparation of financial projections and strategic planning. Responsible for managing the financial and operational performance of the provider network and compliance with contractual terms.

Qualifications:

BLD - Bachelor's Level Degree

Healthcare Management, Managed Care

Skills

Active Learning, Active Listening, Communication, Coordination, Critical Thinking, Judgment and Decision Making, Leadership, Mathematics, Microsoft Excel, Microsoft Office, Microsoft Word, Monitoring, Reading Comprehension, Service Orientation, Social Perceptiveness, Speaking, Technology/Computer, Time Management, Troubleshooting, Writing

Sentara Healthcare prides itself on the diversity and inclusiveness of its close to an almost 30,000-member workforce. Diversity, inclusion, and belonging is a guiding principle of the organization to ensure its workforce reflects the communities it serves.

Per Clinical Laboratory Improvement Amendments (CLIA), some clinical environments require proof of education; these regulations are posted at ecfr.gov for further information. In an effort to expedite this verification requirement, we encourage you to upload your diploma or transcript at time of application.

In support of our mission "to improve health every day," this is a tobacco-free environment.