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Christian Care Ministry · 2 weeks ago

Network Development Manager

Orlando, FL

Full-time

Onsite

Senior Level

$82K/yr - $112K/yr

5+ years exp

Christian Care Ministry is a healthcare sharing ministry for Christians that aims to connect people to a Christ-centered community wellness experience. The Network Development Manager is responsible for managing and negotiating contracts with healthcare providers, ensuring alignment with the organization's strategic goals and compliance standards.

Financial ServicesHealth CareNon Profit

Responsibilities

Manage complex contracting and negotiations for fees for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups)

Build relationships that nurture partnerships and seek broader value-based business opportunities to support the local market strategy

Initiate and maintain effective channels of communication with internal partners including but not limited to, billing and payment operations, Care Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service

Manage strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements

Contribute to the development of alternative network initiatives; Supports and provides direction to develop network analytics required for the network solution

Work to meet contracting targets (adequacy, accessibility, medical cost spend, etc.), while preserving an adequate network, to achieve and maintain Company's competitive position

Prepare, analyze, review, and project financial impact of larger or complex provider contracts and assesses alternate contract terms

Manage key provider relationships and is accountable for critical interface with providers and business staff

Demonstrate knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape

Strong understanding of and familiarity with payers and players in the healthcare landscape

Leverage prior history and success leading and managing multiple contracts to deliver results

Track current contract performance and process renegotiations and changes, amendments, and extensions to existing agreements

Review and revise provider contracts as necessary to reflect updates in business strategy or organizational developments

Represent company with high visibility providers and community groups

Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs

All other duties as assigned

Qualification

Healthcare provider contractingHealthcare reimbursement methodologiesNegotiation skillsContract managementRelationship managementAnalytical skillsCommunication skillsCritical thinkingTeam playerCustomer focus

Required

5-7 years' Hospital contracting and negotiating experience involving complex delivery systems and organizations required

Bachelor's degree in Business, Healthcare Administration, Finance, or Economics required; equivalent combination of other education and job specific experience may be considered

Proven experience of healthcare provider network financial and contract arrangements between payers and providers

Excellent communication skills – ability to create and deliver effective and professional multi-mode communications and presentations

Relationship Management - ability to develop and manage highly complex provider relationships

Detailed knowledge of healthcare reimbursement methodologies, including incentive-based models

Team player – proven ability to develop and foster healthy working relationships in a fast-paced and matrix organization

Strong analytical skill – ability to organize, make sense of, and effectively present data in a compelling way helping others make data driven decisions

Critical thinking and problem-solving skill – ability to navigate challenges through logic, active listening, and clear action steps to move forward

Contract Management skill – ability to monitor and manage contract provisions and proactively take steps to ensure adherence

Proven experience with negotiation – ability to drive to consensus between two parties who may have different interests for the benefit of all parties

Customer Focus - building strong customer relationships and delivering customer-centric solutions

Ensures Accountability – holds self and others accountable to meet commitments

Action Oriented – takes on new and tough challenges with a sense of urgency, high energy, and enthusiasm

Balances Stakeholders – anticipates and balances the needs of multiple stakeholders

Situational Adaptability – adapts approach and demeanor in real time to match the shifting demands of different situations

Decision Quality – makes good and timely decisions that keep the organization moving forward

Preferred

MBA or MHA preferred

Benefits

100% paid Medical for employees/99% for family

Generous employer Health Savings Account (HSA) contributions

Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance

6 weeks of paid parental leave (for both mom and dad)

Dental - two plans to choose from

Vision

Short-term Disability

Accident, Critical Illness, Hospital Indemnity

401(k) – up to 4% match on ROTH or Traditional contributions

Generous paid-time off and 11 paid holidays

Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo

Employee Assistance Program including no cost, in-person mental health visits and employee discounts

Monetary Anniversary Awards Program

Monetary Birthday Awards

Company

Christian Care Ministry

Christian Care Ministry (CCM) is a non-profit that administers Medi-Share, a healthcare sharing program where Christians come together to share each other’s medical bills.

Founded in 1993

Melbourne, Florida, USA

501-1000 employees