Health Partner Network Manager

Job description

Job Summary: The Health Partner Network Manager executes the Health Partner contracting strategy, develops contract provisions based on cost, quality/analysis and monitors key metrics for the assigned Market. Essential Functions: - Create, execute and administer value based reimbursement (VBR) strategies as directed - Conduct annual effectiveness review of contracting strategies; ensure corporate compliance with all contracting initiatives - Responsible for provider recruitment, contracting and initiating the loading and credentialing processes - Responsible for following up / auditing providers as they proceed through the loading process to ensure accuracy - Create contract language and review with legal to develop approved contract templates specific to the assigned Market and within the established corporate guardrails - Analyze financial data and establish rates in collaboration with Provider Contracting leadership and Finance - Negotiate and re-negotiate hospital, ancillary, physician and behavioral health contracts, terms, reimbursement rates, etc., in a manner that complies with corporate policies - Build networks to support new products within the market and on-board new pr...