Senior Director, Network Development

Paradigm; Tampa (FL); Remote; USD 120,000 - 160,000; Full time

Job summary

Paradigm, a specialty care management organization, seeks a fully remote Senior Director Network Development. This role includes growing the Provider Network, managing contract negotiations, and leading the Provider Contracting team, all aimed at improving healthcare outcomes. The ideal candidate will need substantial experience in the medical industry and possess strong leadership and communication skills.

Qualifications

• 10+ years’ experience in the medical industry, specific to Provider contracting.
• Exceptional communication and telephone skills required.
• Possess excellent organizational skills and ability to multi-task effectively.

Responsibilities

• Manage the Provider Contracting team and oversee recruitment efforts.
• Collaborate with Legal and compliance departments on provider contracts.
• Conduct market research to identify gaps and opportunities for network expansion.

Skills

Communication

Organizational Skills

Negotiation

Leadership

Education

College degree preferred

High school diploma or equivalent acceptable with commensurate experience

Tools

Microsoft applications

Job description

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Paradigm is an accountable specialty care management organization focused on improving the lives of people with complex injuries and diagnoses. The company has been a pioneer in value-based care since 1991 and has an exceptional track record of generating the very best outcomes for patients, payers, and providers. Deep clinical expertise is the foundation for every part of Paradigm’s business: risk-based clinical solutions, case management, specialty networks, home health, shared decision support, and payment integrity programs.

We are seeking a fully remote Senior Director Network Development. This role will grow and enhance Paradigm’s Provider Network by recruiting, managing complex negotiations/contracts and overseeing the Provider Contracting team.

Responsibilities:

• Directly manage, provide leadership and mentoring to direct reports and their respective teams.
• Work with the Vice President of Provider Network Development and/or the business to create, Implement and execute provider strategic initiatives.
• Ensure operational execution of all short- and medium-term strategic initiative objectives are met.
• Assist with the creation and enforcement of departmental quality assurance processes and procedures.
• Collaborate with Legal Services and the compliance department to ensure all Provider contracts and amendments meet regulatory requirements and organization standards.
• Conduct regular reviews and audits of the provider network to ensure compliance and regulatory requirements.
• Maintain accurate and up-to-date provider data in the organization’s systems.
• Create, track and maintain all Paradigm contracts and amendments.
• Escalate to the Vice President of Provider Network Development when contracts/amendments agreements are outside of the predefined rate thresholds.
• Manage Budget
• Research, discovery and focus on growth, efficiency and performance of underdeveloped network segments/geographic locations by product line.
• Collaborate and align with Paradigm business leaders including but not limited to Go to Market, Product leaders, Account Management.
• Conduct and coordinate provider recruitment efforts and related activities, with duties including but not limited to:
• Utilize proprietary company information/programs as well as approved non-company systems/programs to identify Facility/Provider prospects.
• Recruit and contract with Facility/Provider’s.
• Foster and maintain productive professional relationships with Paradigm providers.
• Communicate with and provide timely responses to provider inquiries in a manner that demonstrates the Paradigm way.
• Maintain a thorough understanding of Paradigm’s service offerings and pricing thresholds.
• Participate in the development of marketing and outreach materials in collaboration with departmental instruction/needs.
• Document outreach efforts, review results, and modify approach as needed to achieve departmental recruitment objectives in the appropriate contact management system.
• Support ongoing process improvement activities related to provider recruitment and onboarding.
• Prepare written reports, correspondence, presentations, orientation materials, and other documentation.
• Perform research and analysis related to Facility/Provider network requirements and to identify opportunities for network expansion, with duties including but not limited to:
• Conduct market research to identify gaps in in the provider network, opportunities for network expansion and trends.
• Maintain knowledge of Paradigm Providers through direct dialogue.
• Research competitors and utilize available data to monitor hospital and health system network, including service offerings and rates.
• Facilitate the contracting process with Providers in collaboration with the SVP of Network Development.
• Perform additional duties as identified and directed by management.
  

Supervisory Responsibilities:

• Mentor, train, and supervise team members directly and indirectly, review their work and provide effective constructive feedback.
• Ensure all team members understand, are trained in, and comply with Paradigm’s security requirements and policies.
• Ensure all team members have the minimum level of IT system access required to effectively complete their Paradigm responsibilities.
  
  
  

Qualifications:

• 10+ years’ experience in the medical industry, specific to Provider contracting.
• College degree preferred. High school diploma or equivalent acceptable with commensurate experience.
• Exceptional communication and telephone skills required, as well as a great deal of patience, understanding and tact.
• Possess a high level of self-confidence and persistence; maintain an assertive approach in dealing with providers.
• Must possess excellent organizational skills and ability to multi-task effectively.
• Demonstrate the ability to prioritize heavy workload independently with minimal supervision.
• Proficient computer and internet skills; familiarity with Microsoft applications required.
  
  
  

We have been recognized, again! This is Paradigm’s fourth time in a row being certified as Great Place to Work reflecting our ongoing commitment to a positive, diverse, and supportive employee-centric culture.

Paradigm believes that fostering a diverse and inclusive workplace is central to our mission of helping more people and transforming lives. We’re striving to build a culture that better reflects the society we live in and empowers our team to deliver the highest levels of compassion and care to those we serve. For us, achieving this goal requires a workforce that respectfully embraces differences and commits to positive change, creating an environment where everyone is able to bring their whole self to work.

We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, sex, age, national origin, religion, sexual orientation, gender identity, status as a veteran, and basis of disability or any other federal, state or local protected class.

Seniority level

• Seniority level

  Director

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Insurance

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