Healthcare Network Development Manager

Nivano Physicians, Inc.
Sacramento, United States of America
16 days ago

Role details

Contract type
Permanent contract
Employment type
Full-time (> 32 hours)
Working hours
Regular working hours
Languages
English
Experience level
Intermediate
Compensation
$ 110K

Job location

Sacramento, United States of America

Tech stack

Data analysis
Network Monitoring
Network administration

Job description

The Network Manager is responsible for managing and maintaining a healthcare provider network, including physicians, hospitals, and ancillary providers. This role focuses on provider relationships, contract management, network adequacy, and ensuring patients have access to high-quality, cost-effective care., * Manage relationships with physicians, specialists, hospitals, and clinics

  • Support provider recruitment and onboarding to expand the network
  • Assist in negotiating and maintaining provider contracts and reimbursement terms
  • Monitor network performance (quality, utilization, cost, access)
  • Ensure compliance with regulations such as HIPAA
  • Resolve provider issues, complaints, and operational challenges
  • Analyze data to identify gaps in coverage or performance
  • Collaborate with internal teams to improve outcomes
  • Ensure network adequacy (enough providers for patient demand in each region)

Requirements

  • Bachelor's degree in Healthcare Administration, Business, or related field
  • 3-7+ years of experience in healthcare (provider relations, managed care, or network management)
  • Knowledge of healthcare delivery systems and insurance models
  • Strong communication and relationship-building skills

Core Competencies

  • Provider relations & negotiation
  • Data analysis and performance tracking
  • Problem-solving and conflict resolution
  • Knowledge of healthcare regulations and compliance, * Healthcare management: 3 years (Preferred)

Benefits & conditions

Pulled from the full job description

  • 401(k)
  • Health insurance
  • Paid time off
  • Vision insurance
  • Dental insurance
  • Life insurance, * 401(k)
  • Dental insurance
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

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