2,698 Network Management jobs in the United States

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career.

Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.

Join Team Amex and let's lead the way together.

About Network & Acquiring Solutions

As part of the Global Merchant & Network Services group (GMNS), the Network & Acquirer Solutions (NAS) team is at the core of American Express, uniquely positioned to support every business unit and customer across the Enterprise. The American Express Network enables over $1.6 trillion in annual spend, serving our Issuers and Acquirers in more than 170 markets worldwide. We are driving a strategic, multi-year Enterprise Payments program to bring all payments together into a center of excellence to drive operational excellence for payment execution, enable innovative payment products, services, and capabilities to be built effectively and efficiently, support our BU strategies more closely, and deliver on our customers’ evolving payment needs.

About the Role

This newly created role of Director, Enterprise Payments Network Management is an exciting opportunity to establish and lead the strategic management and optimization of our treasury banking relationships and non-bank payments partners. The incumbent will be an integral leader within a large scale, enterprise-wide program established to redesign our payment execution operating model, optimise and de-risk payment partner relationships, offer best in class payments processing, and create safe and compliant enterprise payments services.

The Director, Enterprise Payments Network Management will oversee the strategy, performance, and compliance of our global bank and non-bank partners within the payments network to ensure efficient, seamless, and optimized money movement for payment use cases across the enterprise. The successful candidate will establish a network partner management framework to deepen bank and non-bank relationships, drive governance and operational excellence, minimize third party risk, and optimize the commercial terms with partners to drive flawless payments processing globally for American Express. This is a unique opportunity to shape the foundation of a critical function and drive the strategic development of an enterprise payment service.

Key Responsibilities

• Establishment of the new function: Develop the strategy and vision for the Enterprise Payments Network Management function including defining roles and responsibilities across the engagement lifecycle, creating the governance frameworks, establishing processes and best practices for managing payment partner relationships, and defining key success metrics and KPIs.
• Network management strategy: Create comprehensive inventory of existing payment partner relationships globally across the enterprise assessing their roles, performance, and alignment with strategic objectives. Develop and implement rationalization strategy to optimize the bank partner portfolio and establish clear rules and criteria for engaging new banking partners.
• Strategic relationship management: Negotiate contracts, fee schedules, and service level agreements with new and existing partners with an enterprise perspective to ensure competitive terms and service levels. Develop a scalable partnership management model to drive strategic and proactive management of third-party payment partners.
• Payments network design and oversight: Evaluate existing third-party relationships against business needs to design appropriate payments network along with the strategies for a resilient, efficient, and secure payments network.
• Operational performance and optimization: Assess operational and performance metrics to monitor, benchmark, and optimize the performance of the partners. Identify opportunities to improve operational efficiency.
• Risk management and compliance: Ensure the participants in the payments network operate in compliance with all applicable regulations, e.g., AML, OFAC, PCI, etc. Work with the third-party partners to prioritize work and lead operational readiness and change management program in response to regulatory mandates.
• Industry engagement and expertise: Develop strategy for engagement and participation in industry forums and governing bodies. Stay abreast of new payment regulations and payment networks rule changes and determine impact to the payments processing, partner integration, and payment network management.

Requirements/Qualifications

• Relevant experience: Minimum of 10 years’ experience in global bank payments (ACH, wire, RTP) on the consumer and/or wholesale side.
• Network management experience , including building partner management framework, assessment and optimization of third-party partners, third-party risk management, SLA management, and fees optimization.
• Leadership: Experience leading a team of direct reports day to day operations, coaching, and overseeing performance indications for continuous improvement.
• Regulatory expertise: Strong understanding of the regulatory landscape affecting payment systems, including AML, KYC, OFAC, PSD2.
• Payment scheme expertise: Proven experience with payment schemes and their compliance requirements, including experience with The Clearing House, The Federal Reserve, Nacha, SEPA, Faster Payments Scheme, etc.
• Enterprise Program management: Demonstrated ability to lead and manage comprehensive programs in partnership with key stakeholders at an Enterprise level.
• Passion for results: Passion to drive execution and deliver results in a fast-moving and innovative environment.
• Analytical mindset: Strong analytical and problem-solving skills with a proactive approach to resolving issues and implementing process improvements.
• Highly collaborative: Ability to collaborate with and build strong relationships with internal and external stakeholders to deliver value beyond traditional means.
• Executive communication: Ability to effectively communicate and inspire decision making comfortably with C-suite stakeholders.
• Effective negotiator and influencer : Ability to influence key partners and executive stakeholders. Excellent communication skills, proficient in developing excellent quality presentations and deliverables for an executive audience.

Salary Range: $44,250.00 to 256,250.00 annually + bonus + equity (if applicable) + benefits

The above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.

We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:

• Competitive base salaries
• Bonus incentives
• 6% Company Match on retirement savings plan
• Free financial coaching and financial well-being support
• Comprehensive medical, dental, vision, life insurance, and disability benefits
• Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need
• 20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy
• Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)
• Free and confidential counseling support through our Healthy Minds program
• Career development and training opportunities

For a full list of Team Amex benefits, visit our Colleague Benefits Site .

American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.

We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.

US Job Seekers - Click to view the “ Know Your Rights ” poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window:

Employment eligibility to work with American Express in the U.S. is required as the company will not pursue visa sponsorship for these positions.

At American Express, our culture is built on a 175-year history of innovation, shared values and Leadership Behaviors, and an unwavering commitment to back our customers, communities, and colleagues. As part of Team Amex, you'll experience this powerful backing with comprehensive support for your holistic well-being and many opportunities to learn new skills, develop as a leader, and grow your career.

Here, your voice and ideas matter, your work makes an impact, and together, you will help us define the future of American Express.

How will you make an impact in this role?

About Network & Acquiring Solutions

As part of the Global Merchant & Network Services group (GMNS), the Network & Acquirer Solutions (NAS) team is at the core of American Express, uniquely positioned to support every business unit and customer across the Enterprise. The American Express Network enables over $1.6 trillion in annual spend, serving our Issuers and Acquirers in more than 170 markets worldwide. We are driving a strategic, multi-year Enterprise Payments program to bring all payments together into a center of excellence to drive operational excellence for payment execution, enable innovative payment products, services, and capabilities to be built effectively and efficiently, support our BU strategies more closely, and deliver on our customers’ evolving payment needs.

About the Role

This newly created role of Manager, Enterprise Payments Network Management is an exciting opportunity to contribute to strategic management and optimization of our treasury banking relationships and non-bank payments partners. The incumbent will be working with a Director to establish a large scale, enterprise-wide program established to redesign our payment execution operating model, optimise and de-risk payment partner relationships, offer best in class payments processing, and create safe and compliant enterprise payments services.

The Network Management team will oversee the strategy, performance, and compliance of our global bank and non-bank partners within the payments network to ensure efficient, seamless, and optimized money movement for payment use cases across the enterprise. The tram will establish a network partner management framework to deepen bank and non-bank relationships, drive governance and operational excellence, minimize third party risk, and optimize the commercial terms with partners to drive flawless payments processing globally for American Express. This is a unique opportunity to shape the foundation of a critical function and drive the strategic development of an enterprise payment service.

Key Responsibilities

• Network management strategy: Contribute to development of comprehensive inventory of existing payment partner relationships globally across the enterprise assessing their roles, performance, and alignment with strategic objectives. Work with the team on development and implementation of rationalization strategy to optimize the bank partner portfolio and establish clear rules and criteria for engaging new banking partners.
• Strategic relationship management: Negotiate contracts, fee schedules, and service level agreements with new and existing partners with an enterprise perspective to ensure competitive terms and service levels. Drive strategic and proactive management of third-party payment partners.
• Payments network design and oversight: Evaluate existing third-party relationships against business needs to design appropriate payments network along with the strategies for a resilient, efficient, and secure payments network.
• Operational performance and optimization: Assess operational and performance metrics to monitor, benchmark, and optimize the performance of the partners. Identify opportunities to improve operational efficiency.
• Risk management and compliance: Ensure the participants in the payments network operate in compliance with all applicable regulations, e.g., AML, OFAC, PCI, etc. Work with the third-party partners to prioritize work and lead operational readiness and change management program in response to regulatory mandates.

Requirements/Qualifications

• Relevant experience: Minimum of 3 years’ experience in global bank payments (ACH, wire, RTP) on the consumer and/or wholesale side.
• Network management experience , including building partner management framework, assessment and optimization of third-party partners, third-party risk management, SLA management, and fees optimization.
• Regulatory and payment scheme expertise . Proven experience with payment schemes and their compliance requirements, including experience with The Clearing House, The Federal Reserve, Nacha, SEPA, Faster Payments Scheme, etc.
• Project/Program Management: Demonstrated ability to lead communication across cross-functional teams of key stakeholder.
• Passion for results: Passion to drive execution and deliver results in a fast-moving and innovative environment.
• Analytical mindset: Strong analytical and problem-solving skills with a proactive approach to resolving issues and implementing process improvements.
• Highly collaborative: Ability to collaborate with and build strong relationships with internal and external stakeholders to deliver value beyond traditional means.
• Effective communicator and influencer: Ability to influence key partners and executive stakeholders. Excellent communication skills, proficient in developing excellent quality presentations and deliverables for an executive audience.

Salary Range: $03,750.00 to 174,750.00 annually + bonus + benefits

The above represents the expected salary range for this job requisition. Ultimately, in determining your pay, we’ll consider your location, experience, and other job-related factors.

We back you with benefits that support your holistic well-being so you can be and deliver your best. This means caring for you and your loved ones' physical, financial, and mental health, as well as providing the flexibility you need to thrive personally and professionally:

• Competitive base salaries
• Bonus incentives
• 6% Company Match on retirement savings plan
• Free financial coaching and financial well-being support
• Comprehensive medical, dental, vision, life insurance, and disability benefits
• Flexible working model with hybrid, onsite or virtual arrangements depending on role and business need
• 20+ weeks paid parental leave for all parents, regardless of gender, offered for pregnancy, adoption or surrogacy
• Free access to global on-site wellness centers staffed with nurses and doctors (depending on location)
• Free and confidential counseling support through our Healthy Minds program
• Career development and training opportunities

For a full list of Team Amex benefits, visit our Colleague Benefits Site .

American Express is an equal opportunity employer and makes employment decisions without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran status, disability status, age, or any other status protected by law. American Express will consider for employment all qualified applicants, including those with arrest or conviction records, in accordance with the requirements of applicable state and local laws, including, but not limited to, the California Fair Chance Act, the Los Angeles County Fair Chance Ordinance for Employers, and the City of Los Angeles’ Fair Chance Initiative for Hiring Ordinance. For positions covered by federal and/or state banking regulations, American Express will comply with such regulations as it relates to the consideration of applicants with criminal convictions.

We back our colleagues with the support they need to thrive, professionally and personally. That's why we have Amex Flex, our enterprise working model that provides greater flexibility to colleagues while ensuring we preserve the important aspects of our unique in-person culture. Depending on role and business needs, colleagues will either work onsite, in a hybrid model (combination of in-office and virtual days) or fully virtually.

US Job Seekers - Click to view the “ Know Your Rights ” poster. If the link does not work, you may access the poster by copying and pasting the following URL in a new browser window:

Employment eligibility to work with American Express in the U.S. is required as the company will not pursue visa sponsorship for these positions.

Job Description
Overview:

We rise to the challenge each day to ensure the safety of those that lead, serve, and protect the world we live in. We do this by making the world's most advanced defense platforms even smarter. Our engineers redefine what's possible and our manufacturing team brings it to life, building the brains behind the brawn on submarines, ships, combat vehicles, aircraft, satellites, and other advanced systems. We pride ourselves in being a great place to work with this shared sense of purpose, committed to a diverse and exciting employee experience that drives innovation and creates a community where all feel welcome and a part of something amazing. We are an Equal Opportunity/Affirmative Action Employer that is committed to hiring a diverse and talented workforce. EOE/Disability/Veteran

Responsibilities:

Requires a bachelor's degree in Systems Engineering, or a related Science, Engineering or Mathematics field. Also requires 8+ years of job-related experience, or a master's degree plus 6 years of job-related experience. Agile experience preferred.

CLEARANCE REQUIREMENTS:

Department of Defense Secret security clearance is preferred at time of hire. Applicants selected may be subject to a U.S. Government security investigation and must meet eligibility requirements for access to classified information. Due to the nature of work performed within our facilities, U.S. citizenship is required.

Qualifications:

We are currently seeking a Network Management Systems Engineer in our Scottsdale, AZ location. Responsibilities for this Position We have an immediate opening for a MUOS System Engineer with an emphasis on Network Management-related products. This is a System Engineering position with the responsibility to oversee and drive the technical direction of a set of subsystems, providing an opportunity to further advance the cutting-edge technology that supports some of our nation's core defense/intelligence services and systems. Our employees work closely with esteemed customers to develop solutions that allow them to carry out high-stakes national security missions.

Duties and Tasks:

• Provide system engineering of the technical content, design, and execution of Network Management related products and subsystems.
• Perform customer requirements analysis, develop system requirements, and define functional allocations to lower levels (subsystem, elements and components)
• Perform functional analysis, performance analysis, system design, detailed trade studies, systems integration, verification and validation test planning, and interface definition studies of the system, subsystem or system elements with minimal supervision of the lead systems engineer.
• Support technical planning, cost and risk analyses, and supportability and effectiveness analyses for subsystems and system elements.
• Synthesize solutions to meet customer expectations and technical performance while staying within schedule and cost constraints.
• Lead the use of Modeling and Simulation activities among the teams.
• Provide technical design leadership and/or direction to lower-level employees.
• Working with development managers, support product development prioritization decisions appropriately in line with the feature backlog and customer need.
• Contribute

Alignment Health is breaking the mold in conventional health care, committed to serving seniors and those who need it most: the chronically ill and frail. It takes an entire team of passionate and caring people, united in our mission to put the senior first. We have built a team of talented and experienced people who are passionate about transforming the lives of the seniors we serve. In this fast-growing company, you will find ample room for growth and innovation alongside the Alignment Health community. Working at Alignment Health provides an opportunity to do work that really matters, not only changing lives but saving them. Together.

The Sr. Manager, Network Management is responsible for contracting with all provider types and successful provider network performance related to key financial, operational, and member satisfaction performance indicators in a multi-market territory. Works closely with Network Management and other departments to enhance the contracted provider experience consistent with company's mission statement and values.

General Duties/Responsibilities (May include but are not limited to):

• Collaborate with Network Management leadership in the development and execution of the contracting strategy.
• Recruit providers to eliminate network deficiencies within a specific region.
• Negotiate / re-negotiate and finalize all contracts which may be primary care, specialist, ancillary, hospital, group/IPA as well as ensure the accuracy of administration of these agreements.
• Manage staff; lead, mentor and coach staff effectively
• Assure the day-to-day operations of the provider network are consistent with standards/ expectations and develops provider education materials as needed to support adherence with company requirements.
• Develop agendas and lead Joint Operations Meetings to drive results, including oversight of New Provider Orientations and new Contract Orientations. Meetings will focus on addressing performance improvement metrics, resolving operational issues, including but not limited to utilization management, financial, enrollment, member appeals and grievances, provider termination/panel closures, continuity of care, and marketing activities.
• Responsible for the execution of regional work-plans, monitoring performance metrics, updating status, and communicating progress both internally and externally to ensure results.
• Responsible for timely and professional interaction with internal and external customers.
• Ensure accurate and timely data reporting requirements are being met for designated regions, including but not limited to provider network contacts, eligibility and capitation reports, risk sharing, claims timeliness, pharmacy utilization, bed day utilization, encounter data and audit compliance.
• Develop goals and objectives that align with Network Management leadership's performance metrics to ensure department KPIs are met, as well as the organization's vision for future growth and network development.
• Utilize contracting knowledge for effective problem resolution and compliance. Responsible for timely and professional interaction in response to grievances. Research, analyze and resolve complex problems dealing with hospital shared risk pool, claims, appeals, and eligibility issues within the appropriate limits.
• Create and implement policies and procedures for the department. Interpret company policies and procedures.
• Represents the department in interdepartmental meetings and selected committees.
• Other projects and responsibilities as assigned

Supervisory Responsibilities:

Oversees assigned staff. Responsibilities include recruiting, selecting, orienting, and training employees; assigning workload; planning, monitoring, and appraising job results; and coaching, counseling, and disciplining employees. Will also oversee third-party vendors and/or student workers as appropriate.

Minimum Requirements:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Minimum Experience:

Minimum 5-7 years' experience with an HMO, managed care provider organization (IPA, Medical Group or institutional provider) or insurance company with at least 5 years' specific experience in managed care contracting and knowledge or Medicare Advantage regulatory guidelines.

Previous supervisory experience; demonstrated abilities to manage staff

Education/Licensure:

Bachelor's Degree or equivalent experience required

Other:

Proficient in MS Office, including strong Word and Excel proficiency.

Detail oriented.

Language Skills: Ability to read and interpret documents such as contracts, safety rules, operating and maintenance instructions and procedure manuals. Ability to interpret government regulations a must. Ability to write routine reports and correspondence.

Ability to speak effectively before groups of providers or employees of internal/external organization.

Mathematical Skills: Ability to calculate figures and amounts such as fee schedules, per diem rates, discounts, interest, commissions, proportions, and percentages. Ability to apply concepts of algebra, geometry and statistics.

Reasoning Skills: Strong analytic and problem-solving skills required, including ability to synthesize, interpret and apply detailed and complex information.

Office Hours: Monday-Friday, 8am to 5pm. Extended work hours, as needed.

Maintain reliable means of transportation. If driving, must have a valid driver's license and automobile insurance.

Drives approximately 20-40% of the time to provider sites.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Essential Physical Functions:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

While performing the duties of this job, the employee is regularly required to talk or hear. The employee regularly is required to stand, walk, sit, use hand to finger, handle or feel objects, tools, or controls; and reach with hands and arms. The employee frequently lifts and/or moves up to 10 pounds. Specific vision abilities required by this job include close vision and the ability to adjust focus.

Alignment Healthcare, LLC is proud to practice Equal Employment Opportunity and Affirmative Action. We are looking for diversity in qualified candidates for employment: Minority/Female/Disable/Protected Veteran.

If you require any reasonable accommodation under the Americans with Disabilities Act (ADA) in completing the online application, interviewing, completing any pre-employment testing or otherwise participating in the employee selection process, please contact
Pay Range: $91,651.00 - $137,477.00
Pay range may be based on a number of factors including market location, education, responsibilities, experience, etc.

Alignment Health is an Equal Opportunity/Affirmative Action Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, age, protected veteran status, gender identity, or sexual orientation.

*DISCLAIMER: Please beware of recruitment phishing scams affecting Alignment Health and other employers where individuals receive fraudulent employment-related offers in exchange for money or other sensitive personal information. Please be advised that Alignment Health and its subsidiaries will never ask you for a credit card, send you a check, or ask you for any type of payment as part of consideration for employment with our company. If you feel that you have been the victim of a scam such as this, please report the incident to the Federal Trade Commission at If you would like to verify the legitimacy of an email sent by or on behalf of Alignment Health's talent acquisition team, please email

**Description**
Hourly Wage Estimate: $23.50 - $4.00 / hour
Learn more about the benefits offered ( ) for this job.
The estimate displayed represents the typical wage range of candidates hired. Factors that may be used to determine your actual salary may include your specific skills, how many years of experience you have and comparison to other employees already in this role. The typical candidate is hired below midpoint of the range.
**Introduction**
Are you passionate about the patient experience? At HCA Healthcare, we are committed to caring for patients with purpose and integrity. We care like family! Jump-start your career as a Managed Care Network Management Coordinator today with HCA Healthcare.
**Benefits**
HCA Healthcare offers a total rewards package that supports the health, life, career and retirement of our colleagues. The available plans and programs include:
+ Comprehensive medical coverage that covers many common services at no cost or for a low copay. Plans include prescription drug and behavioral health coverage as well as free telemedicine services and free AirMed medical transportation.
+ Additional options for dental and vision benefits, life and disability coverage, flexible spending accounts, supplemental health protection plans (accident, critical illness, hospital indemnity), auto and home insurance, identity theft protection, legal counseling, long-term care coverage, moving assistance, pet insurance and more.
+ Free counseling services and resources for emotional, physical and financial wellbeing
+ 401(k) Plan with a 100% match on 3% to 9% of pay (based on years of service)
+ Employee Stock Purchase Plan with 10% off HCA Healthcare stock
+ Family support through fertility and family building benefits with Progyny and adoption assistance.
+ Referral services for child, elder and pet care, home and auto repair, event planning and more
+ Consumer discounts through Abenity and Consumer Discounts
+ Retirement readiness, rollover assistance services and preferred banking partnerships
+ Education assistance (tuition, student loan, certification support, dependent scholarships)
+ Colleague recognition program
+ Time Away From Work Program (paid time off, paid family leave, long- and short-term disability coverage and leaves of absence)
+ Employee Health Assistance Fund that offers free employee-only coverage to full-time and part-time colleagues based on income.
Learn more about Employee Benefits ( Eligibility for benefits may vary by location._**
Come join our team as a Managed Care Network Management Coordinator. We care for our community! Just last year, HCA Healthcare and our colleagues donated 13.8 million dollars to charitable organizations. Apply Today!
**Job Summary and Qualifications**
The Network Management Coordinator is primarily responsible for maintaining the flow of documents and information within the Network Management Department.
DUTIES INCLUDE BUT NOT LIMITED TO:
+ Prepare correspondence, reports, rate proposals, special projects, presentations, project lists and other related material.
+ Handle telephone calls, mail and faxed correspondence.
+ Contact providers and/or provider office staff as needed to resolve issues.
+ Keep Department Supervisor informed of any complaints or issues as they arise.
+ Schedule, coordinate, and take minutes at meetings as required.
+ Interact daily with all departments within PPMSI, which include Customer Service, Utilization Management, Data Management and Network Management.
+ Work with the Credentialing Specialist to prepare documents for Membership meetings for SCCIPA and any other PPMSI client.
+ Maintain letter of interest tracking spreadsheets for SCCIPA and any other PPMSI Client.
+ Maintain strong relationships with contracted HMOs.
+ Communicate with payors and network providers, both orally and written, in association with operational and contractual related issues.
+ Update and maintains various databases utilized by Network Management.
+ Assist staff with report documentation and distribution.
+ Create and distribute provider updates to contracted HMOs.
+ Coordinate and facilitate special projects as assigned.
+ Order supplies for the department.
+ Handle business travel and meeting arrangements.
+ Perform other duties as assigned.
KNOWLEDGE, SKILLS AND ABILITIES: This position requires the following minimum requirements:
+ Able to prioritize duties effectively and remain flexible
+ Able to comply with policies and procedures and take direction well
+ Proficient in MS Word and Excel. Working knowledge of MS Access, and Adobe Acrobat
+ Excellent verbal and written communication skills
+ Extremely detail oriented and able to work well under pressure
EDUCATION:
+ High School Diploma
EXPERIENCE:
+ Minimum two (2) years' experience in an administrative support position
Physician Services Group ( is skilled in physician employment, practice and urgent care operations. We are experts in hospitalist integration, and graduate medical education. We lead more than 1,300 physician practices and 170+ urgent care centers. We are HCA Healthcare's graduate medical education leader. We provide direction for over 260 exceptional resident and fellowship programs. We focus on carrying out value-added solutions. These solutions help physicians deliver patient-centered healthcare. We support HCA Healthcare's commitment to the care and improvement of human life.
HCA Healthcare has been recognized as one of the World's Most Ethical Companies® by the Ethisphere Institute more than ten times. In recent years, HCA Healthcare spent an estimated $ .7 billion in cost for the delivery of charitable care, uninsured discounts, and other uncompensated expenses.
"The great hospitals will always put the patient and the patient's family first, and the really great institutions will provide care with warmth, compassion, and dignity for the individual."- Dr. Thomas Frist, Sr.
HCA Healthcare Co-Founder
If you are looking for an opportunity that provides satisfaction and personal growth, we encourage you to apply for our Managed Care Network Management Coordinator opening. We promptly review all applications. Highly qualified candidates will be contacted for interviews. **Unlock the possibilities and apply today!**
We are an equal opportunity employer. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.
#PSG-AFHP

**Location:** Overland Park Kansas
**Hours:** Monday - Friday
**Travel:** This role requires associates to be in-office 3 days per week, fostering collaboration and connectivity, while providing flexibility to support productivity and work-life balance. This approach combines structured office engagement with the autonomy of virtual work, promoting a dynamic and adaptable workplace. Alternate locations may be considered if candidates reside within a commuting distance from an office.
**Position Overview:**
Develops the provider network through contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed, hospital based and hospital owned ancillary providers. Primary focus of this role is contracting and negotiating contract terms. Deals with only the most complex health systems, affiliated providers, and supports value base initiatives.
**How You Will Make an Impact:**
+ Serves in a leadership capacity, leading associate resources, special projects/initiatives, or network planning
+ Serves as a subject matter expert for local contracting efforts or in highly specialized components of the contracting process and serves as subject matter expert for that area for a business unit
+ Typically serves as lead contractor for large scale, multi-faceted negotiations
+ Serves as business unit representative on enterprise initiatives around network management and leads projects with significant impact
+ May assist management in network development planning to include gap fill projects and network adequacy reporting
+ May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring
+ Contracts involve non-standard arrangements that require a high level of negotiation skills
+ Familiarity with customized Fee schedules
+ Works independently and requires high level of judgment and discretion
+ May work on projects impacting the business unit requiring collaboration with other key areas or serve on enterprise projects around network management
+ Serves as a communication link between providers and the company
+ Conducts the most complex negotiations
+ Prepares financial projections and conducts analysis
**Required Qualifications:**
+ Requires a BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
**Preferred Qualifications:**
+ Candidate Must reside in Kansas
+ Kansas Medicaid and Medicare strongly preferred
+ Advanced Negotiation skills is a must have
+ Experience using financial models and analysis to negotiate rates with providers strongly preferred
+ Value Based/Alternative payment model experience strongly preferred
+ Travels to worksite and other locations as necessary
Please be advised that Elevance Health only accepts resumes for compensation from agencies that have a signed agreement with Elevance Health. Any unsolicited resumes, including those submitted to hiring managers, are deemed to be the property of Elevance Health.
Who We Are
Elevance Health is a health company dedicated to improving lives and communities - and making healthcare simpler. We are a Fortune 25 company with a longstanding history in the healthcare industry, looking for leaders at all levels of the organization who are passionate about making an impact on our members and the communities we serve.
How We Work
At Elevance Health, we are creating a culture that is designed to advance our strategy but will also lead to personal and professional growth for our associates. Our values and behaviors are the root of our culture. They are how we achieve our strategy, power our business outcomes and drive our shared success - for our consumers, our associates, our communities and our business.
We offer a range of market-competitive total rewards that include merit increases, paid holidays, Paid Time Off, and incentive bonus programs (unless covered by a collective bargaining agreement), medical, dental, vision, short and long term disability benefits, 401(k) +match, stock purchase plan, life insurance, wellness programs and financial education resources, to name a few.
Elevance Health operates in a Hybrid Workforce Strategy. Unless specified as primarily virtual by the hiring manager, associates are required to work at an Elevance Health location at least once per week, and potentially several times per week. Specific requirements and expectations for time onsite will be discussed as part of the hiring process.
The health of our associates and communities is a top priority for Elevance Health. We require all new candidates in certain patient/member-facing roles to become vaccinated against COVID-19 and Influenza. If you are not vaccinated, your offer will be rescinded unless you provide an acceptable explanation. Elevance Health will also follow all relevant federal, state and local laws.
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status or any other status or condition protected by applicable federal, state, or local laws. Applicants who require accommodation to participate in the job application process may contact for assistance.
Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state, and local laws, including, but not limited to, the Los Angeles County Fair Chance Ordinance and the California Fair Chance Act.

**Role Overview:** The Manager of Provider Network Management oversees the day-to-day operations of the Network Management department, including staff supervision, provider contracting, recruitment, and compliance. This role ensures the provider network meets regulatory standards and supports the healthcare needs of plan members. The manager also leads initiatives to improve provider satisfaction, streamline processes, and enhance electronic strategies for claims and auto-adjudication.
**Work Arrangement:**
+ Hybrid -This role requires the associate to be onsite at the Southfield, Michigan (MI) office at least three days per week, including mandatory in-office days on Tuesdays and Wednesdays.
**Responsibilities:**
**Network Development & Contracting**
+ Lead the development and management of hospital and physician networks across current and expansion markets.
+ Recruit providers and negotiate contracts that align with company standards and regulatory requirements.
+ Ensure provider contracts comply with pricing methodologies, Medicaid fee schedules, and internal payment systems.
+ Resolve complex contracting issues and ensure non-standard terms are properly communicated and approved.
+ Oversee the accuracy, timeliness, and compliance of all provider contracts.
+ Implement electronic strategies to enhance claims submission and auto-adjudication processes.
**Provider Recruitment, Retention, & Relations**
+ Ensure network adequacy in accordance with state and accrediting agency standards.
+ Develop and execute strategic recruitment plans based on geographic and specialty needs.
+ Collaborate with internal departments to retain providers at risk of termination.
+ Modify and expand the network to support new products, clients, and service areas.
+ Serve as a liaison between the health plan and provider community.
+ Oversee provider education, training, and communication initiatives.
+ Resolve provider complaints promptly to minimize network disruption.
+ Conduct annual provider satisfaction surveys and lead improvement efforts based on feedback.
**Quality & Compliance**
+ Monitor provider compliance with claims policies and recommend corrective actions.
+ Support system upgrades, regulatory directives, and corporate initiatives.
+ Track and analyze capitation, provider rosters, and Rural Health Clinic (RHC)/ Federally Qualified Health Center (FQHC) reports to address outliers.
+ Collaborate with the Quality Management team on initiatives such as Healthcare Effectiveness Data and Information Set (HEDIS), Consumer Assessment of Healthcare Providers and Systems (CAHPS), and National Committee for Quality Assurance (NCQA)/Utilization Review Accreditation Commission (URAC).
+ Participate in internal and external committees as needed.
**Leadership & Administration**
+ Manage departmental staffing, performance evaluations, and professional development.
+ Foster a collaborative and growth-oriented team environment.
+ Guide staff in using data and analytical tools to improve quality and efficiency.
+ Communicate policy and procedural updates effectively across the team.
+ Recommend and implement operational improvements to optimize resource utilization.
**Education & Experience:**
+ A bachelor's degree in Business, Healthcare Administration, or a related field is required.
+ Minimum 5 years of experience in managed care or healthcare setting.
+ 3 to 5 years of provider contracting and reimbursement experience.
+ 3 or more years of supervisory or leadership experience, preferably in managed care.
**Licensure:**
+ Valid driver's license and current auto insurance
**Skills & Abilities:**
+ Strong organizational, analytical, and communication skills
+ Ability to manage conflict, resolve issues, and lead teams effectively
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As a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

As the Manager of Provider Network, you will build and nurture strategic provider partnerships that strengthen our network, drive innovation, and ensure high-quality care for our communities. They will develop and manage all hospital, physician, and extender networks. This position is also responsible for implementing strategies to improve provider satisfaction and manage network costs. This position will interact with Hospital and Physician Practice Chief Executive Officers, Chief Financial Officers, Directors of Managed Care, and other high-level executives.
**Work Location:** Manchester, New Hampshire (Hybrid schedule)
**Roles and Responsibilities:**
+ Lead strategic planning, development, and management of the hospital and physician provider network to meet member needs and ensure network adequacy.
+ Oversee provider contracting processes, ensuring compliance with pricing guidelines, contract standards, and claim payment methodologies.
+ Drive implementation of electronic strategies to improve claims submission, auto-adjudication, and operational efficiency.
+ Ensure departmental compliance with Federal and State regulations, develop policies accordingly, and lead provider communication, education, and satisfaction initiatives.
+ Supervise, coach, and develop team members to achieve financial, quality, and clinical objectives while fostering innovation, collaboration, and continuous improvement.
+ Ability to negotiate and develop partnerships with new and existing providers within New Hampshire.
**Education/Experience:**
+ A bachelor's degree in business or health-related disciplines, such as healthcare administration or healthcare management, and equivalent business experience is preferred.
+ A minimum of 3 years of experience in managed care provider contracting and reimbursement is required, including in-depth knowledge of reimbursement methodologies and contracting terms.
+ A minimum of 1 to 2 years of Medicaid experience is preferred.
+ A minimum of three (3) to five (5) years of progressive business management and negotiation experience is preferred.
+ A minimum of two (2) years of management experience, managing teams, and project management is preferred.
+ A valid Driver's License and current Auto Insurance are required.
**Our Comprehensive Benefits Package**
Flexible work solutions including remote options, hybrid work schedules, Competitive pay, Paid time off including holidays and volunteer events, Health insurance coverage for you and your dependents on Day 1, 401(k) Tuition reimbursement and more.
Your career starts now. We are looking for the next generation of health care leaders.
At AmeriHealth Caritas, we are passionate about helping people get care, stay well and build healthy communities. As one of the nations leaders in health care solutions, we offer our associates the opportunity to impact the lives of millions of people through our national footprint of products, services and award-winning programs. AmeriHealth Caritas is seeking talented, passionate individuals to join our team. Together we can build healthier communities. If you want to make a difference, we would like to hear you.
Headquartered in Newtown Square, AmeriHealth Caritas is a mission-driven organization with more than 30 years of experience. We deliver comprehensive, outcomes-driven care to those who need it most. We offer integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services.
Discover more about us at a company, we support internal diversity through:
Recruiting. We are an equal opportunity employer. We do not discriminate on the basis of age, race, ethnicity, gender, religion, sexual orientation, or disability. Our inclusive, equitable approach to recruiting and hiring reinforces our commitment to DEI.

Cardinal Health Sonexus Access and Patient Support helps specialty pharmaceutical manufacturers remove barriers to care so that patients can access, afford and remain on the therapy they need for a better quality of life. Our diverse expertise in pharma, payer and hub services allows us to deliver best-in-class solutions-driving brand and patient markers of success. We're continuously integrating advanced and emerging technologies to streamline patient onboarding, qualification and adherence. Our non-commercial specialty pharmacy is centralized at our custom-designed facility outside of Dallas, Texas, empowering manufacturers to rethink the reach and impact of their products.

**Together, we can get life-changing therapies to patients who need them-faster.**

**_Job Summary_**

The Supervisor, Access and Patient Support will oversee program staff performing customer service, enrollment and reimbursement activities, benefit investigations for pharmacy benefit coverage, prior authorization assistance, copay enrollment and other hub services.

**_Responsibilities_**

+ Collaboratively oversees daily operations for an inbound and outbound patient access support team.

+ Ability to maintain development/training goals for team members in a 100% remote setting.

+ Responsible for creating and maintaining Standard Operating Procedures and work instructions & metrics specific to the program.

+ Responsible for conducting daily, weekly, monthly, and quarterly reviews of program metrics and reporting results to leadership.

+ Manages workflow within assigned team to ensure efficient customer service operations. Monitors inbound calls and workgroups, and tracks key performance indicators such as abandonment rate, Service Level, After Call Survey and First Call Resolution.

+ Responsible for testing/solutioning/approving program changes including those related to technology, platform upgrades and modifications to program business rules.

+ Meets regularly with Manager to discuss team performance and people management considerations. Assists the Manager in implementing new policies and procedures.

+ Conducts development-based biweekly/monthly/quarterly 1x1s with team members and holds responsibility for providing effective coaching, development and feedback on both performance and goal setting.

+ Resonsible for managing Workday tasks; approvals timecards, PTO, etc.

+ Comply with all Local, State, and Federal laws and regulations as they pertain to services provided by the Company. This includes supporting and demonstrating compliance with the Company's Compliance and HIPAA Plans.

+ Collaborates with internal business partners to provide effective responses and resolutions to complex program related issues.

+ Manages time and independently prioritizes work responsibilities to meet key deadlines as assigned by manager.

+ Maintains daily contact with client/3rd party partners by leveraging excellent verbal and written communication skills.

+ Other duties as assigned.

**_Qualifications_**

+ Bachelor's degree in related field, or equivalent work experience, preferred

+ 2-3 years proven experience in a leadership position within a call center preferred, exposure to customer service

+ Strong communication and customer service skills, (written and verbal)

+ Excellent leadership, troubleshooting, time management, and problem-solving skills

+ Ability to prioritize multiple, concurrent assignments and work with a sense of urgency

+ Highly organized by utilizing time management skills

+ Commitment to the continued development of oneself and team members

+ Ability to lead and engage remote employees

+ Shift flexibility required if coverage is needed on an early/later shift

**TRAINING AND WORK SCHEDULES** **:** Your new hire training will take place 8:00am-5:00pm CST, mandatory attendance is required. This position is full-time (40 hours/week).

Employees are required to have flexibility to work any of our shift schedules during our normal business hours of Monday-Friday, 7:00am- 7:00pm CST.

**REMOTE DETAILS** : This position is remote. Working remotely, full-time requires a dedicated, quiet, private, distraction free environment with access to high-speed internet. We will provide the computer, technology and equipment needed to successfully perform the job. The employee is responsible for providing high-speed internet. Internet requirements include the following:

Maintain a secure, high-speed, broadband internet connection (DSL, Cable, or Fiber) at the remote location. Dial-up, satellite, WIFI, Cellular connections are NOT acceptable.

+ Download speed of 15Mbps (megabyte per second)

+ Upload speed of 5Mbps (megabyte per second)

+ Ping Rate Maximum of 30ms (milliseconds)

+ Hardwired to the router

+ Surge protector with Network Line Protection for CAH issued equipment

**Anticipated salary range:** $65,500 - $93,550

**Bonus eligible:** No

**Benefits:** Cardinal Health offers a wide variety of benefits and programs to support health and well-being.

+ Medical, dental and vision coverage

+ Paid time off plan

+ Health savings account (HSA)

+ 401k savings plan

+ Access to wages before pay day with myFlexPay

+ Flexible spending accounts (FSAs)

+ Short- and long-term disability coverage

+ Work-Life resources

+ Paid parental leave

+ Healthy lifestyle programs

**Application window anticipated to close:** 11/24/2025 *if interested in opportunity, please submit application as soon as possible.

The salary range listed is an estimate. Pay at Cardinal Health is determined by multiple factors including, but not limited to, a candidate's geographical location, relevant education, experience and skills and an evaluation of internal pay equity.

_Candidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply._

_Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal_ _Opportunity/Affirmative_ _Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law._

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