Manager Network Management & Engagement

Grand Rapids, MI - USA

Monthly Salary: Not Disclosed

Posted on: 4 hours ago

Vacancies: 1 Vacancy

Job Summary

Cultivate and maintain productive relationships with providers healthcare executives and healthcare teams in an effort to create an adequate strong performing and cost-effective network. Coordinate and facilitate work across medical management provider operations sales and underwriting.

Essential Functions

Develop and maintain purposeful long term relationships with providers based on fair and competitive business terms with an emphasis on improving quality and the patients experience of care while reducing the cost of care.
Manage improvement opportunities develop action plans and successfully implement them.
Direct the activities of assigned team members establishing annual performance objectives and monitoring the interface between team members and network providers to ensure annual goals are achieved.
Provide advice/guidance/recommendations to corporate and regional executives and business partners related to costs cost-savings opportunities best practices provider performance issues provider compensation and network expansion.
Support market specific business needs in assigned communities including attending sales presentations and providing market specific data and intelligence.

Qualifications

Required Bachelors Degree or equivalent in health care administration business administration accounting finance clinical or health and human services or similar
Preferred Masters Degree MBA MHA MHP
3 years of relevant experience within provider network management health care insurance or other health care delivery setting. Required
2 years of relevant experience directly interacting with clinical practices including experience in analyzing and integrating financial and quality performance Required
1 year of relevant experience leading projects teams or initiatives Required
3 years of relevant experience in direct management of staff Preferred
3 years of relevant experience Strong contextual knowledge (managed care provider reimbursement models national health care trends practice management trends) Preferred
LIC-Drivers License - STATEMI State of Michigan Upon Hire required

Physical Demands

Pallet to Waist (6 from floor) > 5 lbs: Seldom up to 10 lbs
Waist to Waist > 5 lbs: Seldom up to 10 lbs
Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs
Waist to Overhead > 5 lbs: Seldom up to 10 lbs
Bilateral Carry > 5 lbs: Seldom up to 10 lbs
Unilateral Carry > 5 lbs: Seldom up to 10 lbs
Pushing Force > 5 lbs: Seldom up to 10 lbs
Pulling Force > 5 lbs: Seldom up to 10 lbs
Sitting: Frequently
Standing: Occasionally
Walking: Occasionally
Forward Bend - Standing: Seldom
Forward Bend - Sitting: Occasionally
Trunk Rotation - Standing: Seldom
Trunk Rotation - Sitting: Occasionally
Reach - Above Shoulder: Seldom
Reach - at Shoulder or Below: Seldom
Handling: Occasionally
Forceful Grip > 5 lbs: Seldom
Forceful Pinch > 2 lbs: Seldom
Finger/Hand Dexterity: Frequently

How Corewell Health cares for you

Comprehensive benefits package to meet your financial health and work/life balance goals. Learn more here.
On-demand pay program powered by Payactiv
Discounts directory with deals on the things that matter to you like restaurants phone plans spas and more!
Optional identity theft protection home and auto insurance pet insurance
Traditional and Roth retirement options with service contribution and match savings
Eligibility for benefits is determined by employment type and status

Primary Location

SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids

Department Name

Provider Network Management - PH Managed Benefits

Employment Type

Full time

Shift

Day (United States of America)

Weekly Scheduled Hours

Hours of Work

Days Worked

Weekend Frequency

N/A

CURRENT COREWELL HEALTH TEAM MEMBERS Please apply through Find Jobs from your Workday team member account. This career site is for Non-Corewell Health team members only.

Corewell Health is committed to providing a safe environment for our team members patients visitors and community. We require a drug-free workplace and require team members to comply with the MMR Varicella Tdap and Influenza vaccine requirement if in an on-site or hybrid workplace category. We are committed to supporting prospective team members who require reasonable accommodations to participate in the job application process to perform the essential functions of a job or to enjoy equal benefits and privileges of employment due to a disability pregnancy or sincerely held religious belief.

Corewell Health grants equal employment opportunity to all qualified persons without regard to race color national origin sex disability age religion genetic information marital status height weight gender pregnancy sexual orientation gender identity or expression veteran status or any other legally protected category.

An interconnected collaborative culture where all are encouraged to bring their whole selves to work is vital to the health of our organization. As a health system we advocate for equity as we care for our patients our communities and each other. From workshops that develop cultural intelligence to our inclusion resource groups for people to find community and empowerment at work we are dedicated to ongoing resources that advance our values of diversity equity and inclusion in all that we do. We invite those that share in our commitment to join our team.

You may request assistance in completing the application process by calling 616.486.7447.

Required Experience:

Manager

Job SummaryCultivate and maintain productive relationships with providers healthcare executives and healthcare teams in an effort to create an adequate strong performing and cost-effective network. Coordinate and facilitate work across medical management provider operations sales and underwriting.Es...