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Provider Network Manager at Devoted Health - ApplyBlast

Provider Network Manager

Devoted Health

5 months ago

3.7 on Glassdoor

Connecticut

Onsite

Full Time

Senior

0 applicants

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About this role

This key role involves developing and managing provider networks for Medicare Advantage plans, focusing on CMS STAR measures and clinical care improvement. The position requires negotiating contracts with physicians and health systems while collaborating with internal teams to enhance member outcomes and quality performance. Based in Connecticut, the ideal candidate brings strong business acumen and experience in value-based or risk payment methodologies.

Responsibilities

Develop and manage an adequate provider network in assigned geographical area
Negotiate and renegotiate contracts with physician groups and health systems
Monitor compliance requirements and report status to leadership regularly
Educate providers on STAR measure requirements and improve quality outcomes
Utilize performance dashboards to track quality indicators and address underperformance

Skills

Qualifications

High School Diploma or equivalent

About Devoted Health

devoted.com

Headquarters

Waltham, Massachusetts, United States

Company Size

1001-5000 employees

Founded

2017

View Profile

Devoted Health is a U.S.-based Medicare Advantage provider offering plans with comprehensive benefits. Plans include prescription drug coverage, dental and vision care, over-the-counter allowances, and hearing services, along with tools to find doctors and manage benefits. The company emphasizes patient navigation and a U.S.-based service team to help members understand and use their benefits.