Lead Director, Network Management – Southern California

This is a fully remote position, open to applicants in California.

📋 Description

• Establishing strategic partnerships

• Creating conceptual models

• Negotiating high-value contracts

• Leading a negotiation team focused on Health Systems, Hospitals, and Medical Groups

• Overseeing contract performance with a primary emphasis on provider engagement and financial outcomes

• Collaborating across various internal teams

• Assessing and executing strategic plans for provider networks

• Addressing escalated issues related to claims payments and contract interpretation

⛳️ Requirements

• 10+ years of relevant experience

• Expert-level negotiation abilities

• Proven success in negotiating contracts

• Strong understanding of financials and pricing strategies

• Experience collaborating with Contract Negotiators and Senior Network Managers

• Demonstrated knowledge of provider financial issues

• Familiarity with health plans/payers or large provider systems

• Proven analytical and financial competencies

• Proficient in Microsoft Office Suite (Excel, PowerPoint, and Word)

🏝️ Benefits

• Medical, dental, and vision coverage

• Paid time off

• Retirement savings options

• Wellness programs

• Additional resources based on eligibility