About Mighty:
 
Mighty is using technology to solve one of the most important and overlooked challenges of our time: the steep obstacles faced by accident victims and the people supporting them to achieve medical recovery, financial security, and legal justice. We reject society’s stigma around personal injury and see a service that, when done well, delivers justice for millions of ordinary people who could not otherwise afford it. Fresh off our 2021 Series B from a top-tier VC, we’re building innovative solutions at the intersection of legal, financial, and health tech for the injured and everyone who supports them.

The Provider Network Manager will build, scale, lead, and manage Mighty’s medical provider network.  Our medical network will provide healthcare for our clients - accident victims who need medical assistance. This role will directly own each medical provider’s net promoter score (NPS) and retention. 

The Provider Network Manager will be responsible for providing best in class negotiating, contracting and provider operational leadership. This position will also direct Mighty’s day-to-day interactions with providers with respect to contracting. This position is responsible for developing and implementing operational relationships, quality controls, strategies and efficiencies/workflows to provide best in class contracting, analysis, and provider configuration.  This position may be assigned responsibility for other operational areas on an as needed basis, including but not limited to Provider Relations and provider analytics. While this role can be based in Atlanta, New York, or be fully remote (US Only), it will require travel. 

What you'll do: 

  • Facilitate and engage with providers and provider groups on contracting and other complex issues such as payment reform, quality and data sharing.
  • Create and implement project plans with timelines, milestones, and resources.
  •  Analyze, design and implement, and iterate on work systems, transaction flow, reconciliation and quality assurance processes and methods related to contracting, provider analytics, and other assigned areas.
  • Work closely with internal departments, providers, and vendors to ensure timely and accurate data and information, including providing verbal and written communication.
  •  Manage contract boilerplates, keeping them updated and in compliance with regulatory requirements.
  • Work with the legal team, Compliance, and other departments to implement and maintain policies, procedures, budgets and standards related to contracts and provider relations.
  • Network expansion activities in new and established coverage areas including identifying areas for potential expansion.
  • Assist Mighty leadership with matters related to providers, plan sponsors, employers, regulatory agencies, and business development.
  • Collaborate with Mighty’s product and engineering teams to help define, develop, and operationalize Mighty’s proprietary technology, 3rd party products, and ecosystem integrations to enable excellent client service and experience, at scale. 
  • Partner with the UX design team to ensure a unified, seamless client experience spanning client-facing software and Mighty’s services teams. 
  • Collaborate with Mighty’s product and engineering teams to help define, develop, and operationalize Mighty’s proprietary technology, 3rd party products, and ecosystem integrations to enable excellent client service and experience, at scale. 
  • Partner with the UX design team to ensure a unified, seamless client experience spanning client-facing software and Mighty’s services teams. 

We want to hear from you if you:

  • Have 3+ years of experience negotiating provider or health plan contracts
  • Have 3+ years of supervisory experience 
  • Have sales, operations, project management, hospital system revenue cycle, health plan or payor experience.
  • Have a demonstrated understanding of DRG, CPT/HCPCS coding, UB coding, ICD10 coding concepts, and medical benefit payment systems.
  • Are experienced with financial analysis and modeling.
  • Are experienced with advanced data tools (Cognos, SQL, Truven, SAS, etc).
  • Embrace empathy, honesty, and have deep pride in what you do.
  • Are passionate about client experience and results.
  • Are willing to "roll up your sleeves" and do whatever is necessary to ensure company success.
  • Desire to work in a rapidly evolving startup environment with notable upside.
  • Desire to be a part of our mission to help accident victims navigate medical, legal, and financial journeys and pitfalls. 

Benefits:

  • Competitive compensation
  • Full Benefits - health, vision, and dental, 401(k) with company contribution
  • Flexible paid time off - take time when you need it
  • Learning and Development opportunities
  • And more!

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