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Provider Network Expansion Manager

The IMA Group

United States

Remote

USD 85,000 - 90,000

Full time

8 days ago

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Job summary

An established industry player is seeking a Provider Network Expansion Manager to drive growth in their provider network. This role is perfect for a proactive professional with a strong background in healthcare and provider relationship management. You will identify expansion opportunities, negotiate contracts, and ensure compliance with regulatory standards. Join a community committed to making a difference in healthcare, where your contributions will help shape the future of medical services. With a competitive salary and comprehensive benefits, this role offers a chance to make a real impact while enjoying a balanced lifestyle.

Benefits

Comprehensive Health Coverage
Generous Paid Time Off
401k Plan with Employer Matching
Tuition Assistance
Paid Maternity and Parental Leave
No On Call Responsibilities

Qualifications

  • 5+ years of experience in provider network development.
  • Bachelor's degree required; Master's preferred.

Responsibilities

  • Identify areas for network expansion and build relationships.
  • Negotiate contracts and ensure compliance with regulations.

Skills

Negotiation Skills
Communication Skills
Relationship-Building
Analytical Thinking
Knowledge of Healthcare Regulations
Microsoft Office Suite Proficiency

Education

Bachelor's Degree in Healthcare Administration
Master's Degree

Tools

Network Management Software

Job description

Company Overview:
For over 30 years, The IMA Group has been dedicated to enhancing the livelihood and productivity of individuals and organizations navigating challenging periods of health, work and disability while actively contributing to the development of new medical treatments and clinical advancements.At IMA, we are not just a company; we are a community committed to making a difference.
Job Summary:
We are seeking a dedicated Provider Network Expansion Manager to join our team and play a strategic role in growing our provider network. The ideal candidate has a proven track record of successfully expanding provider networks, particularly with unique specialty providers. This role requires a proactive, results-driven professional who can identify opportunities, establish strong relationships, and drive network growth to support our organization’s objectives.
Candidates must be willing to travel up to 30% as part of this role.
We are currently considering applicants from NY, DC, or PA. Pay range for this role is $85,000- $90,000.
Responsibilities:
  • Network Development:Work with the business development leadership to identify potential geographic areas to expand our provider footprint through various network strategies. Work with provider recruitment when applicable to screen and onboard providers.
  • Relationship Management:Build and establish new relationships with IPA, Network contacts and work with Provider Relations to ensure provider satisfaction remains high.
  • Contract Negotiation:Negotiate delegated arrangements with providers and network channel partners, including terms, rates, and service agreements.
  • Compliance:Ensure all provider contracts and agreements comply with regulatory requirements and company policies.
  • Network Monitoring:Monitor network health, focus on coverage penetration and quality of provider performance based on client and regulatory requirements.
  • Market Analysis:Conduct market research to identify trends, gaps, and opportunities for network expansion and possible network partners.
  • Collaboration:Work closely with internal teams, including operations, finance, and clinical departments, to support network development initiatives.
  • Reporting:Prepare and present regular reports on network development activities and outcomes to senior management.
Qualifications:
  • Education:Bachelor’s degree in healthcare administration, business, or a related field. Master’s degree preferred.
  • Experience:Minimum of 5 years of experience in provider network development, multiple lines of business contract negotiation, or a related role in the healthcare industry.
Skills:
  • Strong negotiation and communication skills.
  • Proven ability in creating and executing on network expansion opportunities.
  • Excellent relationship-building and interpersonal skills.
  • Analytical and strategic thinking abilities.
  • Knowledge of healthcare regulations and compliance requirements.
  • Proficiency in Microsoft Office Suite and network management software.
Benefits:
  • Complete Health Coverage:Comprehensive Health, Dental, and Vision Insurance packages to ensure your well-being.
  • Balanced Lifestyle:Generous paid time off, holidays, and a floating holiday to maintain a healthy work-life balance.
  • Retirement:A 401k plan with employer matching for a secure financial future.
  • Comprehensive Benefit Offerings:Benefits include LTD, STD, Flexible Spending Account, Voluntary Life, Voluntary ADD, and Company-paid Life Insurance and ADD coverage.
  • Tuition Assistance and Student Loan Repayment Assistance:Benefit from IMA’s tax free tuition reimbursement and tax-free student loan repayment assistance program to fuel your ongoing educational journey and to help you pay for the degree you already have!
  • Family Support:Paid maternity leave and paid parental leave reflecting our commitment to supporting families.
  • No on Call Responsibilities:When you are home, you can leave work behind.
The IMA Group is an Affirmative Action/Equal Opportunity Employer
Our Government Services Division supports local, state, and federal agencies and delivers professional and objective medical and psychological examinations as well as ancillary services. Our Payer Services Division meets the evaluation and screening needs of Carriers, TPAs, Public Entities and Employers and includes behavioral health and physical medicine specialty services, working with a wide range of organizations within the workers' compensation, disability, liability, and auto markets. Our Clinical Research Division performs all types of Phase II-IV clinical trials in multiple therapeutic areas through a flexible nationwide network of site locations and virtual capabilities.
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