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Director, Provider Network
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Full-time
- Position Overview: Oversee provider contracting, provider service, provider partnerships, provider network development, and strategic initiative deployment in assigned territory for PacificSource Health Plans.
- Work collaboratively with senior leadership in Finance, Operations, Analytics, Sales, IT, Health Services, Revenue, Government Programs, and across teams in Provider Network – as well as external contracted vendors, and external provider partners.
- Essential Responsibilities: Manage network development processes with key provider partners in conjunction with constituents within PacificSource including health care exchange leaders, government sales and marketing, commercial sales, and product development staff.
- Manage key provider partnerships whether created as part of strategic provider partners, CCO collaborations, aligned risk models, or through mutually agreed upon value-based payment agreements.
- Manage contracting processes of IPAs, physicians, hospitals and other providers, including risk models, fee-for-service reimbursement, value-based payment methodologies, and aligned incentive models with provider partners.
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