Manager, Network Development, MOS

Posted 8 Days Ago
Be an Early Applicant
Hiring Remotely in United States
Remote
71K-113K Annually
Senior level
Healthtech • Pharmaceutical
The Role
The Manager of Network Development is responsible for leading a team that establishes provider networks, ensuring compliance with adequacy requirements. The role involves coordinating with various departments to support recruitment projects, tracking progress, coaching staff, and negotiating provider contracts to facilitate expansion and sales initiatives.
Summary Generated by Built In

This position is contingent upon a contract awar

Responsible for providing direction to a team of Network Development Specialists as well as soliciting the participation of practitioners, facilities, and other behavioral health service providers to establish networks that support adequacy requirements. Works directly with the Network Senior Management Team on highly visible, strategic projects. Experienced in managing complex, evolving and competing objectives. Experienced with managing enterprise-wide projects, including managing third party personnel, working through contractual issues, etc. Serves as a communication link between prospective providers and the organization. Coordinates with Lead Network Project Managers and Manager, Implementations and Applications to ensure quality and accurate recruitment of providers in support of expansion and sales opportunities.

  • Provides regular feedback to staff regarding individual quality and productivity to established benchmarks. 
  • Coaches staff to make decisions to improve work performance. 
  • Establishes performance measurements, benchmarks and work guidelines. 
  • Evaluates the functioning of the department and provides technical and/or managerial support as necessary. 
  • Develops department goals and objectives, tracking and reporting progress to the department and to Senior Management. 
  • Maintains a positive work environment that supports self-directed teams.
  • Provides a structure to optimize the experience, skill, knowledge and capability of the team members.
  • Oversees all tasks related to managing recruitment projects.  This includes recruitment definition, identification of goals, potential obstacles, recruitment tracker updates, tracking and reporting status, coordination with interfacing projects/departments, project evaluation and project revision.  (Monitor timeliness and quality of deliverables to ensure compliance with standard processes and methodologies).
  • Recruits providers in expansion areas by conducting outbound calls and mailings to potential providers.
  • Negotiates new provider contracts and rates.
  • Participates in recruitment blitzes as needed for assured network growth.
  • Ensures completed provider credentialing material is loaded into the online document management tool and processed in a timely manner.

Other Job Requirements

Responsibilities

Minimum 5 years network management experience with managed care knowledge of provider networks, information systems, and/or clinical services.
Experience with healthcare data systems.
Strong working knowledge of the Microsoft Office Suite.

General Job Information

Title

Manager, Network Development, MOS

Grade

26

Work Experience - Required

Management/Leadership, Network

Work Experience - Preferred

Education - Required

A Combination of Education and Work Experience May Be Considered., Bachelor's

Education - Preferred

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$70,715

Salary Maximum:

$113,145

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

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The Company
HQ: Phoenix, AZ
5,717 Employees
On-site Workplace

What We Do

Magellan Health is a leader in managing the fastest growing, most complex areas of health, including special populations, complete pharmacy benefits and other specialty areas of healthcare. Magellan supports innovative ways of accessing better health through technology, while remaining focused on the critical personal relationships that are necessary to achieve a healthy, vibrant life. Magellan's customers include health plans and other managed care organizations, employers, labor unions, various military and governmental agencies and third-party administrators.

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