Manager, Network Development

GEHA (Government Employees Health Association, Inc., pronounced G.E.H.A.) is a nonprofit member association that provides medical and dental benefits to more than two million federal employees and retirees, military retirees and their families. We celebrate diversity and are committed to creating an inclusive environment for all employees.

GEHA has one mission: To empower federal workers to be healthy and well.

Offering one of the largest medical and dental benefit provider networks available to federal employees in the United States, GEHA empowers health and wellness by meeting its members where they are, when they need care. We serve our members with products they value and a personalized customer experience, sustained by a nimble and efficient organization. 

The Manager of Network Development is responsible for overseeing the development and implementation of contracting activates for new provider recruitment and retention. This position is responsible for the oversight of a team of Territory Managers and/or National Account Managers to monitor performance, provide guidance and coaching, and to assure that performance goals are met. This role has oversight of a region of states to monitor and manage the dental network, ensuring that cost/savings goals, adequacy, and compliance goals of the company are being met. Negotiates the most complex and challenging contractual relationships with dental providers, DSO, and consultants. Responsible for the development and oversight of network development policies, procedures, and standard operating practices. Understands regulatory environment and ensures contractual compliance with federal and state requirements.SKILLS

Duties and Responsibilities

• Collects statistical data from recruitment efforts. Uses data to guide strategy and make decisions regarding adjustments to recruitment and retention efforts.

• Provides regular feedback that facilitates individual employee development. Holds direct reports accountable for producing quantity, quality, and timely results.  Recommends promotion, termination, or reassignment of employees. Schedules and conducts performance reviews. Conducts meetings with employees to communicate organizational and departmental changes as necessary.

• Leverages data within assigned region to monitor key financial information, including fee schedule assignments, claims utilization, and fee review results to understand impact to GEHA and client claims costs.

• Creates training and development materials and implements formal training classes for department staff.

• Works with the Director, Network Development to provide feedback and information to develop and adjust recruitment strategy.

• Recommends and implements improvements to the contracting process, including contract language, rates, negotiation strategies, and increased savings.

• Develops and prepares weekly and monthly provider recruitment reports, network access reports, network savings report, and overall network summary reports. Analyzes results and reports issues or trends to Manager, Provider Network.

• Oversees workflow and processes regarding Practice Management Consultants.

• Ensures integrity of provider network and compliance with GEHA policies and pertinent regulatory and accreditation guidelines.

• Plans annual strategy for recruitment and retention in alignment with long-term and short-term goals.

Requirements: Education & Experience

• Requires a bachelor’s degree in Business, Health Care Administration, or related field, additional relevant experience may be considered in lieu of formal education

• Requires 5 years of experience in the dental/healthcare industry or similar experience with sales and contract performance management, including 3 years of experience managing or leading a team

• Must possess a successful track record negotiating large, complex contracts

• Must possess a successful track record of collaborating with multiple departments and other senior leaders in developing and deploying provider network strategies 

• Must possess highly effective verbal and written communication skills including the ability to address a wide range of audiences

• Must possess presentation skills and experience presenting to large groups

• Ability to prioritize workflow and work independently

• Ability to define problems, collect data, establish facts, and draw valid conclusions

• Experience in developing a high performing team, developing a plan for teams to successfully achieve goals and leading teams through change

Preferred Qualifications

• Masters degree

• High level of analytic ability

• Proficient level of experience with Salesforce and Excel

• Knowledge of dental terminology, CDT, dental procedures, and products

#LI-Hybrid

Work-at-home requirements

• Must have the ability to provide a non-cellular High Speed Internet Service such as Fiber, DSL, or cable Modems for a home office.
• A minimum standard speed for optimal performance of 30x5 (30mpbs download x 5mpbs upload) is required.
• Latency (ping) response time lower than 80 ms
• Hotspots, satellite and wireless internet service is NOT allowed for this role.
• A dedicated space lacking ongoing interruptions to protect member PHI / HIPAA information

How we value you

• Competitive pay/salary ranges
• Incentive plan
• Health/Vision/Dental benefits effective day one
• 401(k) retirement plan:  company match – dollar for dollar up to 4% employee contribution (pretax or Roth options) plus a 6% annual company contribution   
• Robust employee well-being program
• Paid Time Off
• Personal Community Enrichment Time
• Company-provided Basic Life and AD&D
• Company-provided Short-Term & Long-Term Disability
• Tuition Assistance Program

Please note that the salary information is a general guideline only.  GEHA considers factors such as (but not limited to) scope and responsibilities of the position, candidate’s work experience, education/training, key skills, internal peer equity, as well as, market and business considerations when extending an offer.

The annual base salary range for this position is $100,845 - $142,155 USD.

GEHA is an Equal Opportunity Employer, which means we will not discriminate against any individual based on sex, race, color, national origin, disability, religion, age, military status, genetic information, veteran status, pregnancy, marital status, gender identity, and sexual orientation, as well as all other characteristics and qualities protected by federal, state, or local law. GEHA will not discriminate against employees or applicants because they have inquired about, discussed, or disclosed their compensation or the compensation of another employee or applicant. We are committed to creating an inclusive environment for all employees. Our diversity drives innovation deepens connections and strengthens our organization.

GEHA is headquartered in Lee's Summit, Missouri, in the Kansas City area. We recognize the importance of balance and flexibility and offer hybrid and work-from-home options for many of our roles.