Solis Health Plans · 1 month ago
Provider Network Manager
Doral, FL, US
Full-time
Onsite
Mid, Senior Level
$80K/yr - $90K/yr
5+ years expSolis Health Plans is a new kind of Medicare Advantage Company focused on providing transparent and effective solutions for members and providers. The Provider Network Manager is responsible for developing and retaining business, ensuring client satisfaction, and maintaining relationships within the specified geographic region.
Health CareHealth DiagnosticsPersonal Health
Responsibilities
Generates and develops new business to meet specified production goals
Maintains and nurtures existing client relationships
Responds to all inquiries and requests in a timely and professional manner
Functions as liaison between client companies and operations staff
Understands and communicates information regarding company products, services, and policies and procedures to new and existing clients
Possesses and maintains thorough knowledge of Medicare Advantage Plan product information
Continually gathers information on local competition and prevalent industry and business climate within the region; communicates information to management and others as needed
Works with more complex providers. Complex providers may include, but are not limited to large institutional providers, and large medical groups, value-based concepts understanding and support, providers in areas with strong competition or where greater provider education around managed care concepts is required
Conducts more complex negotiations and drafts documents
Ensures that all required client paperwork is complete, accurate, and submitted on time
Provides timely and accurate reports as required
Strong background in value based/full risk PCP MSO/IPA arrangements related to Medicare Advantage and other governmental programs
Attends and participates in business/trade events that impact business unit
Attends and participates in team strategic sales meetings
Performs other related duties as assigned by management
Qualification
Required
Bachelor's degree (B. A.) or equivalent, 6 years of experience, or equivalent combination of education and experience
5 years of experience in value based contract agreement (care)
5 years Medicare Advantage Plan
Provider Network experience
Must be a self-starter and proactive
Commitment to excellence and high standards
Excellent written and verbal communication skills
Good judgement with the ability to make timely and sound decisions
Creative, flexible, and innovative team player
Demonstrated ability to make successful presentations to individuals and/or groups at all levels of an organization
Strong organizational skills; able to manage priorities and workflow
Ability to work independently and as a member of various teams and committees
Ability to calculate figures and amounts such as discounts, interest, commissions, and percentages
Excellent problem resolution and consultative sales skills
Proven ability to handle multiple projects and meet deadlines
Strong interpersonal skills
Ability to prepare reports and business correspondence
Versatility, flexibility, and a willingness to work within constantly changing priorities with enthusiasm
Preferred
Bilingual in Spanish preferred
Benefits
Medical, Dental, and Vision Insurance
401(k) plan with 100% company match
Company
Solis Health Plans
Solis Health Plans is a medicare firm that deals with healthcare solutions and plans.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Efrain Duarte
Chief Executive Officer
Michael Lynch
Chief Financial Officer
Recent News
2025-04-15
Company data provided by crunchbase