Market Lead, Network Operations
$120,000–$140,000 year
Remote
Job Summary
Drive provider engagement and network performance by launching a new partnership in the Birmingham, Alabama metropolitan area. Develop strategies to identify growth opportunities, strengthen partner performance, and improve medical cost outcomes. Manage initial rollout efforts, execute core operational workflows, and deploy processes that drive membership growth with existing partners. Use data and analytics to develop MLR initiatives, prioritize provider needs, and review performance and contracting changes through in-person and remote touchpoints. Serve as the key local resource as the market establishes and partnerships evolve.
Required Qualifications
- Resides in or can travel frequently to the Birmingham, Alabama metropolitan area
- 3+ years of experience in a health plan, provider-side value-based care organization, healthcare consulting, or a related setting
- Strong communication and interpersonal skills to effectively engage providers and practice staff
- Demonstrated ability to effectively manage a multiple provider relationships and partner with external and internal matrix partners
- Understanding of the healthcare industry, health plan economics, and provider motivations
- Bachelor's degree in Business or Psychology required
- Ability to travel consistently within the Birmingham, Alabama metropolitan area 30%-50% of the time
Desired Qualifications
- graduate degree in Business, Public Health, or Health Administration preferred
- Experience in healthcare and provider contracting
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