Lead Director - Network Management
September 20
Description
• Accountable for designing conceptual models and initiative planning. • Negotiating Medicaid value-based agreements with North Carolina providers. • Maintaining and enhancing Medicaid provider networks. • Working cross-functionally to meet goals and compliance standards.
Requirements
• Minimum 7+ years related experience. • Expert level negotiation skills. • Proven knowledge of provider financial issues and competitor strategies. • Complex contracting options knowledge. • Ability to identify and manage initiatives that improve total medical cost and quality. • Health Plan/Payer or Provider Systems experience preferred. • Medicaid regulatory experience preferred. • Medicaid contracting & setup experience preferred. • Experience with North Carolina providers preferred. • Resides in North Carolina.
Benefits
• Full range of medical, dental, and vision benefits. • 401(k) retirement savings plan. • Employee Stock Purchase Plan for eligible employees. • Fully-paid term life insurance plan for eligible employees. • Short-term and long-term disability benefits. • Numerous well-being programs. • Education assistance. • Free development courses. • CVS store discount. • Discount programs with participating partners. • Paid Time Off (PTO) or vacation pay. • Paid holidays throughout the calendar year.
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