[Hiring] Network Manager @Habitat Health

Role Description

The Network Manager is responsible for the strategic development, execution, and ongoing management of Habitat Health’s provider network across assigned markets and service lines. This role translates organizational network strategy into operational execution while ensuring that the provider network supports comprehensive service delivery, regulatory compliance, and high quality participant care within the PACE model.

• Oversees provider contracting, provider recruitment, onboarding, and ongoing provider relationship management.
• Ensures that contracted providers are successfully integrated into Habitat Health’s operational and clinical workflows.
• Serves as a senior liaison between Habitat Health leadership, center operations, and external provider organizations.
• Responsible for ensuring that contractual terms, regulatory expectations, billing requirements, credentialing standards, and care coordination processes are consistently implemented across the network.
• Oversees network adequacy planning, supports market expansion initiatives, guides complex contract negotiations, and manages internal network development processes.
• May provide supervision and guidance to network specialists or analysts responsible for supporting contracting and provider operations.

• Drafts, negotiates, and manages provider contracts, amendments, single case agreements, and letters of agreement for traditional and non-traditional providers required to support a comprehensive PACE network.
• Leads the development and execution of network strategy within assigned markets to ensure a comprehensive, compliant, and accessible provider network that supports the full scope of PACE services.
• Identifies network gaps, service capacity needs, and strategic provider partnerships based on participant utilization patterns, geographic access requirements, regulatory standards, and program growth projections.
• Establishes and maintains strategic provider relationships with key health systems, specialty providers, community-based organizations, and ancillary service partners required to support comprehensive PACE care delivery.
• Oversees provider recruitment efforts across critical service areas including specialty physician services, behavioral health, home-based care, transportation, durable medical equipment, dialysis, infusion, dental, and other essential services.
• Directs provider onboarding and integration activities to ensure providers understand the PACE model, authorization workflows, billing requirements, claims submission processes, and interdisciplinary care coordination expectations.
• Serves as a senior escalation point for provider operational issues including claims disputes, contract interpretation, service delivery concerns, credentialing requirements, and participant care coordination challenges.
• Monitors provider network performance and compliance with contractual obligations and regulatory standards and implements corrective actions or performance improvement strategies when needed.
• Maintains oversight of provider and contract tracking tools to ensure accurate documentation, reporting, and regulatory readiness.
• Supports cross-functional collaboration with clinical operations, finance, credentialing, compliance, and center leadership to ensure alignment between network development, operational workflows, and participant care delivery.
• Supports new market launches and expansion initiatives through proactive provider recruitment, contracting strategy development, and establishment of foundational network partnerships.
• Provides guidance, mentorship, and operational oversight to network specialists or other team members supporting contracting and provider relations activities.
• Identifies opportunities to improve network development processes, contracting efficiency, provider onboarding, and operational integration across markets.

Qualifications

• Bachelor’s degree in healthcare administration, business administration, public health, or a related field required.
• Master’s degree in healthcare administration, public health, business administration, or related discipline preferred.
• Minimum 6 to 8 years of experience in provider contracting, network development, managed care, or health plan operations.
• Demonstrated experience leading healthcare provider contract negotiations and managing provider networks within a managed care, integrated delivery, or value-based care environment.
• Strong understanding of Medicare and Medicaid reimbursement methodologies, provider billing practices, and managed care contracting structures.
• Experience developing and managing provider networks that support multi-service care delivery models.
• Working knowledge of regulatory and compliance requirements related to provider participation within Medicare or Medicaid programs.
• Proven ability to manage multiple provider relationships, contracts, and operational priorities across complex healthcare markets.
• Strong written and verbal communication skills with the ability to translate contractual and regulatory requirements into operational guidance.
• Demonstrated ability to build and maintain strategic relationships with health system leaders, community providers, and internal stakeholders.
• Strong analytical and organizational skills with proficiency in Microsoft Excel, Word, and provider network management tools.
• Ability to operate effectively in a rapidly growing organization and lead initiatives within evolving operational environments.

Requirements

• Prior experience working in a PACE program or with PACE providers (nice to have).
• Experience with nontraditional provider types such as home and community-based services, transportation, DME, dental, behavioral health, dialysis, or infusion services (nice to have).
• Familiarity with delegated credentialing models and credentialing documentation requirements (nice to have).
• Experience supporting claims issue resolution or billing education for providers (nice to have).
• Exposure to network adequacy reporting or provider directory management (nice to have).

Benefits

• Medical/dental/vision insurance.
• Short and long-term disability.
• Life insurance.
• Flexible spending accounts.
• 401(k) savings.
• Paid time off.
• Company-paid holidays.

Compensation

The expected salary range for this position is $106,000 - $121,000. The actual offer will be at the company’s sole discretion and determined by relevant business considerations, including the final candidate’s qualifications, years of experience, skillset, and geographic location.

Vaccination Policy, including COVID-19

At Habitat Health, we aim to provide safe and high-quality care to our participants. To achieve this, we have vaccination policies to keep both our team members and participants safe. For COVID and flu, we require either proof of vaccination or declination form and required masking while in participant locations as a safe essential requirement of this role. Requests for reasonable accommodations due to an applicant’s disability or sincerely held religious beliefs will be considered and may be granted based upon review. We also require that team members adhere to all infection control, PPE standards and vaccination requirements related to specific roles and locations as a condition of employment.

Our Commitment to Diversity, Equity, and Inclusion

Habitat Health is an Equal Opportunity employer and is committed to creating a diverse and inclusive workplace. Habitat Health applicants are considered solely based on their qualifications, without regard to race, color, religion, creed, sex, gender (including pregnancy, childbirth, breastfeeding or related medical conditions), gender identity, gender expression, sexual orientation, marital status, military or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), or other status protected by applicable law.

Habitat Health is committed to the full inclusion of all qualified individuals. In keeping with our commitment, Habitat Health will take steps to provide people with disabilities and sincerely held religious beliefs with reasonable accommodations in accordance with applicable law. Accordingly, if you require a reasonable accommodation to fully participate in the job application or interview process, to perform the essential functions of the position, and/or to receive all other benefits and privileges of employment, please contact us at [email protected].

Beware of Scams and Fraud

Please ensure your application is being submitted through a Habitat Health sponsored site only. Our emails will come from @habitathealth.com email addresses. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission by selecting the ‘Rip-offs and Imposter Scams’ option: https://reportfraud.ftc.gov/#/ .