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Director of Network Relations

2 hours, 33 minutes ago
Anywhere
Full-time
Executive
Partnerships Manager
Sales and Business Development
Apply Now
Evry Health

Evry Health

Evry Health is a modern health insurance company that prioritizes delivering great benefits at affordable prices. They offer a unique approach to health insurance by focusing on making members healthier and happier through personalized care from a dedi...

Insurance
11-50
Founded 2017
$7M raised
View All Jobs 2

Description

  • Develop and refine provider network strategy, including geographic priorities, contracting targets, payment methodologies, and network composition.
  • Lead, coach, develop, and performance-manage the Network Relations team while setting territory objectives.
  • Direct high-value provider contract negotiations and design value-based contracting models aligned with quality and cost outcomes.
  • Oversee network adequacy monitoring and SERFF filings, serving as the primary regulatory accountability point for adequacy matters.
  • Partner with Actuarial on fee schedule benchmarks and rate targets.
  • Prepare executive-ready network performance reports for the CMO and leadership team.

Requirements

  • Bachelor’s degree in Business, Healthcare Administration, Economics, or a related field.
  • 10+ years of experience in managed care contracting, provider network development, or provider relations.
  • 3+ years of experience in a director-level role managing a network contracting team.
  • Expertise negotiating multi-methodology contracts, including value-based and risk arrangements.
  • Experience with SERFF filings and network adequacy compliance.
  • MBA, Healthcare Administration, or a related graduate degree preferred.
  • Experience building a network function from inception at a growth-stage health plan preferred.
  • Experience in both health plan-side and provider-side contracting preferred.
  • Knowledge of the Texas commercial health insurance market and adequacy requirements preferred.

Interested in this position?

Apply directly on the company website

Apply Now

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