Director, Network Performance
Benefits
Unlimited PTO
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Responsibilities:
- Lead the development and execution of Clover’s provider network strategy in New Jersey.
- Establish and execute on an annual contracting roadmap aligned with affordability, access, and quality goals.
- Oversee provider contracting activities, including new agreements, renegotiations, amendments, and escalations.
Requirements:
- 8+ years of provider contracting experience, with responsibility for hospitals, large groups, and ancillary providers.
- 5+ years leading a network contracting team for a large entity.
- Deep knowledge of Medicare Advantage network regulations, adequacy standards, and reimbursement methodologies.
Benefits:
- We offer initiatives such as No-Meeting Fridays, monthly company holidays, access to mental health resources, and a generous flexible time-off policy.
- Employee Stock Purchase Plan (ESPP) offering discounted equity opportunities
- Paid parental leave for all new parents
Clover Health
Clover Health reinvents health insurance by combining data and human empathy to keep members healthier. They have created custom software and analytics to empower their clinical staff to intervene and provide personalized care.