AmeriHealth Caritas · 1 day ago
Corporate Provider Network Management Network Development Manager
United States
Full-time
Remote
Mid Level
4+ years expAmeriHealth Caritas is a mission-driven organization focused on delivering comprehensive healthcare solutions. The Network Development Manager will be responsible for building and maintaining provider networks, managing projects, and collaborating with leadership to align strategies with market needs.
Health CareInformation Technology
Responsibilities
Provide project management oversight of new business implementations and market expansions, including set up and maintenance of project sites, folders, and repositories (MS Teams, SharePoint or shared drives)
Develop and maintain performance metrics, project status reports and dashboards
Complete CMS Exchange annual provider network filings for assigned growth or expansion markets
Suggest innovative operational improvements to reduce backlogs and optimize resource utilization
Serve as interdepartmental liaison:
Coordinate with Communications on tracking document development
Partner with Legal on new market contracts and timelines
Coordinate with Corporate Provider Network Operations on provider data discrepancies
Work with Payment Integrity on contract payment methodologies
Develop and maintain Standard Operating Procedures (SOPs) for CPNM processes
Manage special projects as assigned
Provides market intelligence on provider networks in new markets
Develop provider contracting strategies under the direction of the Director, Corporate Provider Network Development
Support team members in the identification and creative problem resolution for the improvement of processes and expanded use of technology
Document issues impacting provider recruiting efforts
Provides guidance and support to the Corporate Provider Network Management Account Executives
Stays current on RFP, CMS Filing, and application requirements
Maintains accurate records of provider contracts
Support process improvement and technology adoption initiatives
Assist with new staff orientation and training as needed
Qualification
Required
Associate's Degree required
1 to 3 years People Manager experience
3 to 5 years Managed Care experience
Experience with matrixed environment
Proficiency with MS 365; advanced Excel skills required
Strong critical thinking, leadership and independent work capabilities
Preferred
Bachelor's Degree preferred
Experience with Tableau and Salesforce a plus
Benefits
Flexible work solutions including remote options
Hybrid work schedules
Competitive pay
Paid time off including holidays and volunteer events
Health insurance coverage for you and your dependents on Day 1
401(k)
Tuition reimbursement
And more.
Company
AmeriHealth Caritas
AmeriHealth Caritas is the health care solutions provider for those in most need and the chronically ill.
10001+ employees
H1B Sponsorship
AmeriHealth Caritas 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 (18)
2024 (17)
2023 (12)
2022 (14)
2021 (4)
2020 (11)
Funding
Current Stage
Late StageLeadership Team
Kathleen Giblin
SVP Clinical Operations
Ash Hanson
Executive Vice President & Chief Human Resources Officer
Recent News
2025-11-06
The Philadelphia Inquirer
2025-10-02
2025-10-01
Company data provided by crunchbase