Network Administrator (Remote with Travel)
Development, maintenance and management of an adequate provider network in assigned geographical areaExperience, qualification, and soft skills, have you got everything required to succeed in this opportunity Find out below.Maintaining relationships and all provider relations activities in assigned geographical area, including negotiating and renegotiating contracts with providers as assignedEngage internal subject matter experts and providers to identify opportunities to improve provider / member cost and quality performanceMonitoring of various reports to insure all necessary compliance requirements are met and maintainedReporting to leadership current status, risks, and potential opportunities in area of responsibility on a regular basisSupporting the overall Network Team as required to achieve success for Devoted HealthSupporting assigned groups to improve performance in CMS STAR measures, including educating providers and their staff on STAR measure requirements, identifying performance gaps through data analysis, coordinating with internal quality teams to implement improvement initiatives, reviewing provider-level performance reports, and working directly with practices to implement workflows and best practices that improve quality outcomes, member satisfaction, preventive care compliance, and clinical documentation accuracyUtilizing performance dashboards and reporting tools to track STAR measure performance, HEDIS metrics, and other quality indicators, proactively engaging providers whose performance falls below targets and collaborating on action plans to improve resultsPartnering with internal quality, clinical, and analytics teams to interpret STAR performance reports and translate insights into actionable strategies for providers, ensuring alignment with organizational goals and CMS quality improvement priorities5+ xevrcyc years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based/riskSolid ability to navigate either Google or MS Suite of productsHigh School Diploma or equivalent minimumExperience in CMS STAR measuresExperience and relationships in the local marketEmployer sponsored health, dental and vision plan with low or no premiumStock options for all employeesBonus eligibility for all roles excluding Director and above;