Provider Network Development Manager

We have an opportunity to join the Alliance as the Provider Network Development Manager within the Provider Services Department, leading the Provider Network Development team. This position will require regular and ongoing travel within Alliance service counties. 

ABOUT THE JOB 

The Provider Network Development Manager is a new role at the Alliance and will lead a team focused on ongoing recruitment and development of a robust provider network. With upcoming changes in the management of Behavioral Health services as well as standing up a Medicare D-SNP program beginning in 2026, the Provider Network Development Manager will lead the strategic recruitment efforts in building an integral provider network to support those programs. This role will work cross-functionally, collaborating with the Alliance’s Provider Relations and Contracts teams and other departments within the organization.  

WHAT YOU'LL BE RESPONSIBLE FOR

Reporting to the Provider Services Director, this position: 

• Manages, plans, implements, and leads provider network development strategy
• Manages and leads provider recruitment efforts
• Manages and leads the Provider Network Development Unit, acts as a subject matter expert, provides guidance on unit functions and departmental operations
• Manages, supervises, mentors, and trains assigned staff

THE IDEAL CANDIDATE 

• Understands network adequacy standards and has a proven track record of developing and executing effective provider recruitment strategies, particularly Medicare D-SNP and/or Behavioral Health providers 
• Knowledge of providers within Alliance service counties (Mariposa, Merced, Monterey, San Benito, and/or Santa Cruz) 
• Knowledge and understanding of provider contract negotiations 
• Exceptional verbal communication skills, with strength in relationship building and influencing others through professional conversations 
• Thrive in matrix management environment 
• Adept at leading and collaborating with cross-functional teams 
• Demonstrated ability to manage competing priorities, aligning them strategically with the company's objectives for optimal efficiency and success 
• Seasoned leader, with demonstrated experience managing staff, including employee relations and fostering a positive workplace culture, coupled with a track record of driving staff development through mentorship, training, and performance management strategies 
• Strength in developing efficient processes and workflows, knowing when and how to best implement process improvements initiatives  
• Energized by regular-cadenced, face-to-face engagement with local providers to cultivate interest in contracting with the Alliance  

WHAT YOU'LL NEED TO BE SUCCESSFUL

To read the full position description, and list of requirements click here. 

• Knowledge of:
• The healthcare delivery systems, including hospitals, clinics, and other healthcare provider types
• The California Medi-Cal program entitlement programs, and related regulations
• The principles and practices of provider network evaluation, analysis, and reporting
• Provider contract negotiation and contract management principles, including reimbursement rates, service level agreements, and performance metrics
• Principles and practices of program and project management
• Ability to:
  • Analyze provider network performance, identify gaps, and develop strategies for improvement
  • The development, implementation, and management of projects, programs, systems, policies, and procedures
  • Train, mentor, supervise, and evaluate the work of staff, promote an atmosphere of teamwork and cooperations, and motivate staff to achieve goals and objectives
  • Provide leadership, facilitate meetings, and present information, data, and results in a clear and understandable manner utilizing methods appropriate to various forums
  • Present strategic information, data and results in a clear and understandable manner utilizing methods appropriate to various forums
• Education and Experience:
  • Bachelor’s degree in Healthcare Administration, Business Administration, Social Science, or a related field
  • A minimum of six years of experience in managed care, which included a minimum of three years of supervisory or management level experience related to provider network development, provider relations, and/or provider contract negotiations (a Master’s degree may substitute for two years of the general managed care experience); or an equivalent combination of education and experience may be qualifying

OTHER DETAILS

• While this position is connected to one of our Alliance offices, we are in hybrid remote/in-office work environment right now and we anticipate that the interview process will take place remotely.
• Our Alliance office locations have officially re-opened after the pandemic and while some employees may work in full-time telecommute schedules, attendance at quarterly company-wide events or department meetings will be expected.
• Based on the nature of work, this position will require regular travel within Alliance service counties, which is dependent on business need. Details about this can be reviewed during the interview process.

The full compensation range for this position is listed by location below. 

The actual compensation for this role will be determined by our compensation philosophy, analysis of the selected candidate's qualifications (direct or transferrable experience related to the position, education or training), as well as other factors (internal equity, market factors, and geographic location).