JobMesh

Network Development & Contracting Associate

Clover Health · US

Clover Health is a Medicare Advantage and Prescription Drug plan that is changing how healthcare is delivered. The health care delivery system is undergoing...

Job description

Clover Health is a Medicare Advantage and Prescription Drug plan that is changing how healthcare is delivered. The health care delivery system is undergoing many changes, however most health insurance payers are trying to execute this change with decades old processes and technologies in a top-down framework. In this role, you will be accountable for developing and executing the network development and provider contracting strategies for a defined market. You will also participate in the development of the network management strategy which includes aspects of technology & product development, utilization management, value-based care, membership growth, marketing and member and provider experience. As a Network Development & Contracting Associate, you will: - Help network development and contracting goals within designated geographies. - Develop and refine local contracting strategies to drive provider participation in Medicare Advantage, Direct Contracting and other value-based initiatives. - Address and resolve any concerns raised by providers and effectively communicate those solutions to internal stakeholders. - Engage and partner collaboratively with other teams. - Deep experti...