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Manulife · 1 month ago

Director, Provider Network Development and Relationship Management

Boston, Massachusetts

Full-time

Hybrid

Senior Level, Lead/Staff

$129K/yr - $223K/yr

8+ years exp

John Hancock is currently transforming our Long Term Care business to help our customers age in place and receive the care that they need to live as independently as possible. The Director, Provider Network Development & Relationship Management, is responsible for leading the development, optimization, and strategic oversight of our provider network, ensuring network adequacy, driving value, and fostering strong relationships with healthcare providers and internal stakeholders.

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

Preferred

Master's in Healthcare Administration, Public Policy, or related field preferred

Benefits

Health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage, adoption/surrogacy and wellness benefits, and employee/family assistance plans

Various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions)

Financial education and counseling resources

Up to 11 paid holidays

3 personal days

150 hours of vacation

40 hours of sick time (or more where required by law) each year

The full range of statutory leaves of absence