Director Network Development- Mid Atlantic Region (Virginia, Pennsylvania or North Carolina state specific)

Responsibilities: Oversees the development and management of insurance networks to improve affordability and quality outcomes. Manages complex contract negotiations with health systems and physician groups while maintaining strategic provider partnerships.

Requirements: Requires a Bachelor's degree and over 7 years of experience in provider contracting or health insurance. Must have existing relationships and contracting experience with major health systems in Virginia, Pennsylvania, or North Carolina.

Key skills: Contract Negotiation, Provider Relationship Management, Financial Acumen, Healthcare Network Development, Medical Economics, Credentialing Agreements, Strategic Planning, Cross-functional Collaboration, Problem Solving, Decision Making, Verbal Communication, Written Communication, Presentation Skills, Interpersonal Skills, Regulatory Compliance, Market Analysis

Keywords: Managed Care, Provider Contracting, Health Insurance, Network Development, Medical Management, Mental Health Parity, Integrated Delivery Systems, Unit Cost Targets, Reimbursement Modeling, Ancillary Providers, Clinical Specialties, Healthcare Administration, Contract Language, Delegated Credentialing, Mid Atlantic Region