About the Role:
- Leading the management of a geographic medical network for our health plan
- Reviewing and amending contracts with physicians, physician groups, facilities, and ancillary medical providers
- Monitoring and reporting network adequacy and network quality
Roles and Responsibilities:
- Tracking and coordinating notification of effective date with the credentialing CVO
- Maintaining and managing the network in accordance with regulatory time, distance and choice requirements
- Reporting to leadership the status, risks, and potential opportunities in area of responsibility on a regular basis
Experience and Skills Desired:
- 5+ years negotiating provider contracts including physician/provider group contracts with multiple payment methodologies
- Analytic capabilities, including experience with SERFF reporting of network adequacy
- Excellent communication skills both verbal and written, and skilled at developing and maintaining effective working relationships
Evry Health
Evry Health, a Globe Life company, aims to bring humanity to health insurance. They are a high-technology health plan expanding benefits and access, and feature a personalized, human approach. Globe Life has 16.8 million policies in force, with more than 3,000 corporate employees and 15,000 agents.