This job has closed.

Manulife · 2 months ago

Director, Provider Network Development and Relationship Management

Boston, Massachusetts

Full-time

Hybrid

Senior Level, Lead/Staff

$121K/yr - $217K/yr

8+ years exp

Manulife is transforming its Long Term Care business to provide customers with access to high-quality and affordable long-term care providers. The Director, Provider Network Development & Relationship Management, is responsible for leading the development and strategic oversight of the provider network, ensuring network adequacy and fostering relationships with healthcare providers.

FinanceFinancial ExchangesFinancial Services

Responsibilities

Network Strategy & Design: Lead cross-functional team to deliver the design, development, and expansion of provider networks to meet regulatory, service coverage, and business objectives

Contracting & Negotiation: Drive & lead provider network contracting processes, ensuring competitive and compliant agreements with measurable discounts

Stakeholder Engagement: Directly manage key provider network relationships with internal stakeholder teams (product, sales, operations, IT)

Data & Performance Management: Track, monitor and manage network performance metrics, data quality, and KPIs; implement improvements based on analytics and feedback

Technology Integration: Proactively collaborate with IT vendors to streamline scheduling, data exchange, and provider onboarding processes

Regulatory Compliance: Ensure adherence to HIPAA, CMS, and state-specific regulations, particularly in Medicaid and Medicare environments

Qualification

Provider network managementContract negotiationStrategic planningHealthcare contractingFinancial analysisCRM systemsEHR/EMR platformsData managementRelationship-buildingCommunication skillsProject management

Required

Bachelor's degree required

8 –15+ years in provider network management, healthcare contracting, or payer strategy roles

Familiarity with CRM systems, EHR/EMR platforms, and provider data management tools

In-depth knowledge of sourcing and procurement principles and best practices; in-depth experience and expertise with supplier contractual terms and conditions to mitigate legal and business risk

Strong negotiation and relationship-building abilities

Strategic planning and execution

Financial and pricing analysis

Excellent communication and presentation skills

Ability to manage complex projects and competing priorities

Background in provider networks