Magellan Health · 1 month ago
Director, Network Development
United States
Full-time
Remote
Director/Executive
$105K/yr - $179K/yr
8+ years expMagellan Health is a leading healthcare organization focused on improving health outcomes. The Director of Network Development is responsible for developing the provider network, ensuring network adequacy, and leading strategic planning for network resources and contracting with service providers.
BiotechnologyHealth CareHospital
Responsibilities
Leads network planning and strategy efforts to support the successful implementation or transformation of the various delivery systems, including assisting in all network related activities during new contract implementations
Conducts market research for emerging markets and develops Capture Strategy specific to the provider network - SWOT Analysis of each Tier 1 Priority State specific to the current provider delivery system as applicable
Operates as a Network SME for all active proposals, work with the existing national network team to drive solutions, actively storyboard solutions to identified problems, and assist in preparing content post RFP release
Travel to identified opportunity, facilitating meetings in the market with providers, provider associations etc. and develop comprehensive summaries of all provider engagement as needed
Contribute to comprehensive work plans geared towards understanding the Network, building out a comprehensive list of all provider types including training, qualifications, and cost requirements
Plans, develops and ensures implementation and positive outcomes of the Annual Network Development Plan including network adequacy and appointment access, development of network resources in response to unmet needs, contracting with qualified service providers and compliance with Federal and State laws
Leads and provides direction to the Magellan Network team including all development responsibilities
Leads provider recruitment activities and ensures compliance with contracting, credentialing and privileging policies and procedures
Ensures the Network Transition Plan is successful meeting all established timeframes
Other network related activities as assigned
Qualification
Required
8+ years managed healthcare experience
Significant experience in progressive network management and development
Knowledge of NCQA requirements
A Combination of Education and Work Experience May Be Considered
Bachelor's
Benefits
Short-term incentives
Comprehensive benefits package
Broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing
Company
Magellan Health
Magellan Health is a leader in managing the fastest growing, most complex areas of health.
1001-5000 employees
H1B Sponsorship
Magellan Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (5)
2023 (1)
2022 (10)
2021 (7)
2020 (7)
Funding
Current Stage
Public CompanyTotal Funding
$351MKey Investors
Onex
2022-11-17Acquired
2004-01-06IPO
2004-01-05Private Equity· $101M
Leadership Team
Caroline Carney
Chief Executive Officer
Steven Pratt
Chief Medical Officer
Recent News
Private Equity International
2025-10-28
Company data provided by crunchbase