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Our Mission is to Make Healthcare Right. Together. Built upon the belief that by connecting and aligning the best local resources in healthcare delivery with the financing of care, we can deliver a superior consumer experience, lower costs, and optimized clinical outcomes.

What drives our mission? The company values we live and breathe every day. We keep it simple: Be Brave. Be Brilliant. Be Accountable. Be Inclusive. Be Collaborative.

If you share our passion for changing healthcare so all people can live healthy, brighter lives – apply to join our team.


 

The Network Development team is responsible for partnering with our Care Partners to turn their provider networks into market leading integrated delivery systems. We are reimagining how the network development, network management, and provider relations functions can advance affordable, simple, and personal care for our members. The Senior Provider Contract Associate, Network Development – Active Markets will be a key contributor to our team and will act as a thought leader for the entire organization. This position will play an integral role in driving the company’s performance by building, optimizing, and transforming our insurance networks This position will be responsible for supporting Bright’s relationship development with key national and local network participants of Bright’s insurance networks as well as for advancing reimbursement best practices alongside our Care Partners.

ROLE RESPONSIBILITIES

  • Lead the development of provider contracting efforts from start-to-finish, including but not limited to process oversight, strategic diligence, outreach, and contract negotiations with regards to mid-sized and large hospitals and health systems, large and small physician groups and ancillary providers to execution
  • Effectively negotiate rates, structures, and contract language with a range of provider types across multiple geographies
  • Support collaboration with our Care Partners to analyze, design, and develop networks through ongoing evaluation of both current and potential network participants
  • Support and enhance Bright Health’s portfolio of strategic national and multi-regional network partnerships to compliment local network development efforts
  • Manage ongoing network participation and performance, including performance analytics and management, as well as contract renewals and terminations
  • Partner with stakeholders across the organization including, but not limited to sales, finance, regulatory, medical management to drive strategic priorities and initiatives
  • Monitor utilization trends for non-participating providers and execute on organizational strategies to ensure members are seeking care with participating providers when appropriate
  • Other duties and responsibilities as assigned

EDUCATION, TRAINING, AND PROFESSIONAL EXPERIENCE

• Bachelor’s Degree in business, economics, healthcare administration, or a related field is preferred.
• Four (4) or more years of professional experience required.
• Two (2) or more years of experience in network development, network management, or reimbursement model design required.
• Experience with successfully executing and implementing payer-provider contracts or partnerships required.
• Experience developing, presenting and analyzing various types of financial analyses in order to make informed strategic decisions required.

PROFESSIONAL COMPETENCIES

• Desire and ability to move quickly between strategic leadership, tactical execution, and managing analytics
• Knowledge of managed care practices and procedures, specifically in contracting language and negotiations. Provider relations is preferred
• Ability to effectively engage providers, ranging from national providers to regional integrated delivery systems to local physician practices
• Makes decisions regarding own work methods, occasionally in ambiguous situations, and requires minimal direction and receives guidance where needed. Follows established guidelines/procedures
• Excellent multitasking and prioritization skills with a proven ability to manage multiple projects in parallel to completion
• Superb written and verbal communication skills with an ability to effectively collaborate with internal and external executive leadership

WORK ENVIRONMENT

The majority of work responsibilities are performed in an open office setting, carrying out detailed work sitting at a desk/table and working on the computer. Some travel may be required.

 

We’re Making Healthcare Right. Together.

We are realizing a completely different healthcare experience where payors, providers, doctors, and patients can all feel connected, aligned and unified on the same team. By eradicating the frictions of competing needs, we are making it possible to give everyone more of what they want and deserve. We do this by:
 
Focusing on Consumers
We understand patient pain points, eliminating complexity while increasing transparency, for greater access and easier navigation.
 
Building on Alignment
We integrate and align individual incentives at all levels, from financing to optimization to delivery of care.
 
Powered by Technology
We employ our purpose built, integrated data platform to connect clinical, financial, and social data, to deliver exceptional outcomes.
 
          

 
As an Equal Opportunity Employer, we welcome and employ a diverse employee group committed to meeting the needs of Bright Health, our consumers, and the communities we serve. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
 

 

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