[Hiring] Senior Manager, Network Performance @Point32Health

Role Description

Working with the Director of Contract Analytics and other members of the Contracting team, the Senior Manager will lead the analytic support of contract negotiations, strategic initiatives, and regulatory requests. This individual will manage staff as well as provide training and mentoring to all members of the team. The Senior Manager will directly support complex analysis related to negotiations and provider contracts and actively participate in external provider meetings with Contract Managers. The individual will manage data preparation in support of regulatory requests.

Duties and Responsibilities

• Manages analysts in design and execution of complex analyses to measure the financial impact of provider contracts and payment changes.
• Maintains broad, comprehensive knowledge and understanding of provider contractual arrangements including value-based reimbursement mechanisms and key cost and utilization performance drivers.
• Responsible for the submission of regulatory requests.
• Coordinates and oversees the annual re-contracting of the provider network for commercial business.
• Works with other departments, including Network Contracting, Provider Analytics, Accounting, Trends, and Reserving to ensure open communication relating to provider risk deals.
• Proactively leads team to identify opportunities to improve Point32Health’s financial position through enhanced payment arrangements.
• Manages the development and enhancement of department tools to aid in standard department work.
• Coordinates quarterly team review of provider performance assessment.
• Works with analytic staff to evaluate and recommend new and innovative financial models and processes.
• Actively participates in external provider meetings with Network Contracting staff.
• Manages the costing of services for the network to assist Actuarial with product pricing.
• Recruit, train, develop, and evaluate staff performance.
• Manages the workload of team, meeting both high quality standards and customer timelines.
• Supports Sales RFPs as appropriate.
• Other duties and projects as needed.

Salary Range

$133,746.73 - $200,620.09

Compensation & Total Rewards Overview

The annual base salary range provided for this position represents a range of salaries for this role and similar roles across the organization. The actual salary for this position will be determined by several factors, including the scope and complexity of the role; the skills, education, training, credentials, and experience of the candidate; as well as internal equity. As part of our comprehensive total rewards program, colleagues are also eligible for variable pay. Eligibility for any bonus, commission, benefits, or any other form of compensation and benefits remains in the Company's sole discretion and may be modified at the Company’s sole discretion, consistent with the law.

Benefits

• Medical, dental and vision coverage
• Retirement plans
• Paid time off
• Employer-paid life and disability insurance with additional buy-up coverage options
• Tuition program
• Well-being benefits
• Full suite of benefits to support career development, individual & family health, and financial health

Scam Alert

Point32Health has recently become aware of job posting scams where unauthorized individuals posing as Point32Health recruiters have placed job advertisements and reached out to potential candidates. These advertisements or individuals may ask the applicant to make a payment. Point32Health would never ask an applicant to make a payment related to a job application or job offer, or to pay for workplace equipment. If you have any concerns about the legitimacy of a job posting or recruiting contact, you may contact [email protected] .