Manager – Network Development

Role Overview

• Lead provider network relations, operational support and analyst teams in strategizing, defining and delivering comprehensive new system enhancements, processes, and training to maintain and grow VSP’s Provider Network
• Direct the Provider Network teams responsible for the implementation and operational management of provider data and relationships
• Communicate strategic goals and the impact the teams’ efforts have in achieving the division and organizational goals
• Participate in the development of key division initiatives; lead and manage the implementation of assigned corporate strategies and follow up on operational performance, training and metrics for Provider Network to ensure operational stability
• Accountable for the development of a system/dashboard to monitor data integrity within the Network Development team, including quality and provider relations team metrics
• Direct the team to achieve and maintain service goals; work closely with SBUs, payment and product integration, and regulatory compliance
• Partner with Legal on developing and reviewing vendor contracts, unique practice ownership scenarios and provider escalations
• Responsible for the deployment and delivery of insurance and regulatory training content for providers and their staff
• Responsible for provider networks, including maintaining appropriate access, developing and maintaining compliance with network standards
• Accountable for business area impact assessments, business analysis and implementation of corporate and divisional projects, ensuring operational readiness
• Partner with division leadership, business partners, to recommend solutions or enhancements to the provider network
• Monitor performance of direct reports; provide prompt and objective coaching and counseling; conduct performance reviews; recommend salary increases
• Participate in the hiring and interviewing process for open positions, ensuring that the most qualified candidates are selected
• Assure effective communications are maintained. Inform employees as to plans and progress; conduct employee discussion sessions at regular intervals
• Responsible for the department budget; monitor expenses to ensure costs are within established levels

Requirements

• Bachelor’s Degree in Business, Communications, Health Care or related field, or equivalent experience
• Minimum of 3 years of Management, Supervisory, or Leadership experience
• Experience in the health care industry or equivalent
• Demonstrated ability to resolve complex issues
• Demonstrated ability to learn, interpret and apply information in contractual documents, policies and procedures
• Excellent leadership skills, communication skills and interpersonal skills
• Ability to travel as needed
• Manage multiple complex division projects where independent action, high degree of initiative and coordination across departments is required
• Strong interpersonal skills and organizational skills
• Strong written and oral communication skills
• Ability to effectively communicate information to a wide variety of technical and non-technical individuals or groups
• Regularly exercises discretion and independent judgment in the performance of his/her job duties

Benefits

• Eligible bonuses and commissions