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To lead the Network Management staff of the health plan in achieving goals set for the department, both financial and non-financial. To ensure that the staff is adequately prepared to perform their day to day accountabilities.
Responsibilities: - Manage Network Management staff resources - Develop and execute network strategies - Oversee the budget and SG&A budgets related to Network Management - Establishes and maintains relationships with Tier 1 and Tier 2 providers according to the Relationship Management Guidelines; participates in Tier 1 provider negotiations
Requirements: - 5+ years in a network healthcare management role with accountability for business results. - Masters degree in business, health care management or related field, or equivalent experience. - Excellent knowledge of health care industry. - Strong negotiation skills
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