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Supv, Network Management

Company: Meridian
Location: Chicago
Posted on: December 5, 2019

Job Description:

OverviewWho we are: Meridian, a WellCare Company, is part of a national network of passionate leaders, achievers, and innovators dedicated to making a difference in the lives of our members, our providers and in the healthcare industry. We provide government-based health plans (Medicare, Medicaid, and the Health Insurance Marketplace) in Michigan, Illinois, Indiana, and Ohio. As a part of the WellCare Family of companies, we deliver healthcare excellence to millions of members nationwide. A Day in the Life of a Supv, Network Management Within in smaller or emerging markets, manages physician contracting, network development and provider relations functionsfor developing, executing and maintaining a provider network strategy. Works in concert with medical management and salesdeveloping actions to meet market growth and medical cost targets. Provides service and education to networkphysicians/providers.ResponsibilitiesKey Duties and ResponsibilitiesLeads a team of Network Management Representatives and/or Specialists in developing, servicing and contracting providers.Achieves company targets through aggressive IPA primary care, specialty and ancillary provider contracting and risk contract management.Monitors primary care and specialty risk arrangements for Medicaid, and Medicare product lines.Performs data analysis and develops specific actions to manage medical cost trend.Assists in developing practices to assist risk partners in managing financial risk.Identifies areas to improve provider service levels.Educates/enhances relationships within the provider community.Special projects as assigned or directed.QualificationsEducation A Bachelor's Degree in a related field - Preferred or equivalent work experience in Network Development or Provider Relations - Required Work Experience4+ years of experience in the healthcare sector (preferably at HMO or PPO) - Required3+ years of experience in HMO provider/hospital/ancillary contracting and network development - Required1+ year experience in leading/supervising others - RequiredEquil Opportunity Employer#MNSTR

Keywords: Meridian, Chicago , Supv, Network Management, Executive , Chicago, Illinois

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