Network Management Associate jobs in United States
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HCA Healthcare · 19 hours ago

Network Management Associate

HCA Healthcare is committed to caring for patients with purpose and integrity. They are seeking a Network Management Associate who will be responsible for managing relationships with contracted physician networks, ensuring adequate network retention and recruitment, and handling provider inquiries.

BiotechnologyHealth CareHospitalMedicalPrimary and Urgent Care

Responsibilities

Work with client to insure adequate physician network retention, expansion and recruitment
Responsible for provider education regarding services, policies, and procedures of PPMSI
Responsible for handling daily provider inquiries, including capitation and reimbursement issues
Assist in physician communication programs and strategy
Responsible for maintaining strong relationships with contracted Health Plans (HMO and PPO)
Communicate with payors and network providers, both orally and written, in association with operational and contractual related issues
Serve as client liaison and advocate with all departments at PPMSI
Assist in client related projects
Assist in identifying issues, problems, and areas where PPMSI performance could be improved
Represent PPMSI at physicians’ offices, contracted health plans, and committees when necessary
May attend client meetings where necessary to facilitate communication of information of PPMSI
Develop and present educational pieces at network provider meetings
Assist in periodic statistical performance reporting to clients
Assist Network Management and Member Services Manager with the development of strategic plans for servicing network physicians
Develop, recommend, and implement new policies and procedures for PPMSI when appropriate
Play a key supportive role in Quality Initiatives
Perform other job as assigned

Qualification

Managed care knowledgeMedical group operationsCommunication skillsPublic speakingResearch skillsAnalytical skillsClaims payment systemsPrioritizeMulti-tasking abilityWord proficiencyExcel proficiencyPowerPoint proficiencyVisio proficiencyProblem-solving skillsInterpersonal skillsCritical thinkingProfessional presentationAdaptability

Required

Advanced knowledge of managed care market, strategies, and physician compensation models
Working knowledge of medical group/IPA operations
Excellent verbal and written communication skills
Excellent public speaking and interpersonal skills
Able to present oneself professionally and have the ability to address large groups of people in educational forums
Strong research and analytical skills
Able to research complex contractual documents for interpretive purpose and utilize critical thinking skills
Efficient in Word, Excel, Power Point, and Visio
Ability to prioritize
Ability to analyze complex situations and accurately identify key components
Handle multi tasks simultaneously
Willingness to travel locally
Knowledge of claims payment systems
Possess excellent problem-solving skills and is able to identify and adapt to shifting priorities
Bachelor's degree in business, health care or related field, or equivalent experience required
Two to Three years in health care setting, including progressively more responsible experience in a physician office management or physician relations capacity required

Benefits

Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
Free counseling services and resources for emotional, physical and financial wellbeing
401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
Employee Stock Purchase Plan with 10% off HCA Healthcare stock
Family support through fertility and family building benefits with Progyny and adoption assistance.
Referral services for child, elder and pet care, home and auto repair, event planning and more
Consumer discounts through Abenity and Consumer Discounts
Retirement readiness, rollover assistance services and preferred banking partnerships
Education assistance (tuition, student loan, certification support, dependent scholarships)
Colleague recognition program
Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.

Company

HCA Healthcare

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HCA Healthcare provides medical education and healthcare services in locally managed facilities. It is a sub-organization of North Florida Endoscopy Center.

Funding

Current Stage
Public Company
Total Funding
$8.51B
2025-10-31Post Ipo Debt· $3.25B
2025-02-24Post Ipo Debt· $5.25B
2014-06-25Post Ipo Debt· $3.2M

Leadership Team

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Nicholas Manning
Chief Executive Officer
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Nick Lane
Regional Vice President Human Resources
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Company data provided by crunchbase