Network Management Strategic Manager

MCS Puerto Rico; San Juan (PR); On-site; USD 90,000 - 130,000; Full time

Job summary

MCS Puerto Rico is seeking a seasoned Network Management leader to guide the implementation of strategies and initiatives that support business objectives and departmental goals. You will oversee contracting, provider relations, medical management programs, and team performance to ensure efficient operations and growth.

Responsibilities include managing complex projects, analyzing provider networks, reporting to senior leadership, and ensuring regulatory compliance across Puerto Rico.

Qualifications

• Education in health administration or related fields.
• Experience supervising personnel in healthcare settings.
• Driver's license and ability to travel within Puerto Rico.

Responsibilities

• Manage and oversee implementation of complex network management projects and contracting initiatives.
• Conduct market and provider network analyses to support value-based initiatives.
• Analyze performance metrics and prepare reports for senior leadership.
• Identify improvement opportunities and develop business cases for approvals.
• Establish and report KPIs to measure network performance and outcomes.
• Develop work plans, timelines, and deliverables while ensuring regulatory compliance.
• Manage departmental budgets and resources to align with goals.
• Maintain relationships with providers, clients, and internal stakeholders.
• Serve as liaison between healthcare providers and internal departments.
• Supervise and train personnel to comply with company policies and procedures.

Skills

Healthcare management

Provider contracting

Team supervision

Budget management

Project coordination

Education

Bachelor's Degree in Health Administration

Bachelor's Degree in Public Health

Bachelor's Degree in Business Administration

Healthcare Management

Job description

GENERAL DESCRIPTION

Responsible for managing the implementation of Network Management strategies and initiatives that support the organization's business objectives and departmental goals. Oversees operational and contracting activities, provider relations, medical management initiatives, and team performance to ensure effective execution, operational efficiency, and business growth.

REGULAR

Exempt

ESSENTIAL FUNCTIONS

• Manage and oversee the implementation of complex network management projects, contracting initiatives, and operational plans aligned with departmental and organizational objectives.
• Conduct market and provider network analyses to identify trends, competitive positioning, emerging healthcare needs, and support value-based initiatives and medical management programs to improve quality, access, and cost-effectiveness.
• Analyze operational and financial performance metrics, identify operational risks, develop corrective action plans, and prepare reports with recommendations for senior leadership to improve results and achieve objectives.
• Identify process improvement opportunities, operational efficiencies, and cost-saving initiatives, develop business cases, and secure management approval.
• Establish, monitor, and report key performance indicators (KPIs) to measure network performance, operational effectiveness, provider engagement, and strategic initiative outcomes.
• Develop and manage work plans, project timelines, and deliverables, ensuring compliance with regulatory requirements, contractual obligations, and organizational standards.
• Manage departmental budgets, operational resources, and financial performance to ensure alignment with established goals and objectives.
• Maintain strong working relationships with providers, clients, internal business partners, and stakeholders to support network development, member satisfaction, and effective issue resolution.
• Serve as the primary liaison between healthcare providers and internal departments to improve operational processes and ensure quality service delivery.
• Supervises, monitors, trains, evaluates, and corrects personnel among others to comply with his/her role as a supervisor, to assure that his/her personnel fulfill their work plan and comply with their essential functions and that they behave following the policies, standards, norms, and procedures of the Company.
• Must comply fully and consistently with all company policies and procedures, with local and federal laws as well as with the regulations applicable to our Industry, to maintain appropriate business and employment practices.
• May carry out other duties and responsibilities as assigned, according to the requirements of education and experience contained in this document.

MINIMUM QUALIFICATIONS

Education and Experience: Bachelor's Degree in Health Administration, Public Health, Business Administration, Healthcare Management, or related fields. At least five (5) years of experience in healthcare network management, provider contracting, managed care, healthcare operations, or similar functions. At least two (2) years of experience supervising personnel.

“Proven experience may be replaced by previously established requirements.”

Certifications / Licenses: A Driver's License valid in the Commonwealth of Puerto Rico is required.

Other: Car in good condition and available to travel to different locations in Puerto Rico.

Languages: Spanish – Advanced (comprehensive, writing and verbal)

English – Advanced (comprehensive, writing and verbal)

“We are an Equal Employment Opportunity Employer and take affirmative action to recruit Protected Veterans and Individuals with Disabilities.”