Provider Network Manager

📋 Description

• • The Provider Network Manager is a key role at Devoted Health, responsible for developing, maintaining, and managing an adequate provider network in an assigned geographic area while driving improvements in Medicare Advantage quality performance, particularly CMS STAR measures, to enhance member outcomes and plan performance.
• • Day-to-day responsibilities include negotiating and renegotiating provider contracts, maintaining provider relationships, monitoring compliance reports, analyzing performance data to identify gaps, collaborating with internal quality and clinical teams to implement improvement initiatives, and supporting network team objectives through regular reporting and proactive engagement with underperforming providers.
• • Devoted Health is a mission-driven healthcare company founded in 2017 that combines compassion, health insurance, clinical care, service, and technology to deliver integrated healthcare solutions for older Americans, with a commitment to diversity, equity, and treating members like family.
• • In this role, the individual will develop deep expertise in Medicare Advantage quality programs, value-based contracting, and network management while gaining experience in data-driven quality improvement, cross-functional collaboration, and strategic provider engagement that directly impacts member satisfaction and organizational performance.