Manager, Network Management

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

Integral to our team, the Manager, Network Management, based in Houston will develop VillageMD’s referral network (physicians, hospitals, pharmacies, ancillary groups & other facilities, etc.) yielding a high functioning network that supports value-based contract performance. Responsibilities also include establishing and maintaining strong business relationships with health plans and network providers to ensure the network composition includes an appropriate distribution of provider specialties.
What you might do in your first year:

• Strategically identify gaps in network composition and negotiate preferred contracts with Specialty Providers, Hospitals, Ambulatory Surgery Centers, Skilled Nursing Facilities, other Ancillary Providers, etc.

• Own the end to end contracting process including, but not limited to, using available technology and analytics to create contracts, negotiate financial and other business and legal terms, and implement final contract

• Develop optimal negotiation strategies and action steps to yield desired outcome

• Develop incentive-based payment models, as appropriate, to improve quality and efficiency

• Partner cross-functionally with corporate teams to leverage subject matter expertise around value based network management while driving market specific project plan

• Develop and foster meaningful relationships with community specialist providers and conduct frequent in-person focus visits with providers to drive stickiness and alignment to the VillageMD value based care model

• Design and implement programs that build/nurture positive relationships between VillageMD, the health plan, providers and practice managers; serve as primary liaison between providers and VillageMD to resolve questions and issues as they arise
  • Implement communication plan and education programs for providers to ensure compliance with VillageMD and health plan policies and procedure

*This list of responsibilities is not meant to be all inclusive as other duties and responsibilities within the scope of this position may be assigned

What will make you successful here?
 

• Ability to be proactive with strong personal initiative as well as highly organized and detail oriented

• Desire to assist out-of-network recruitment and support other geographic areas as needed

• Openness to providing explanations and information to others on difficult issues

• Ability to navigate within ambiguity, a service orientation, and a high level of humility are vital for successful assimilation into our highly collaborative, entrepreneurial culture

• Excellent verbal and written communication skills; ability to convey complex or technical information in a manner that others can understand, as well as ability to understand and interpret complex information from others, including but not limited to reimbursement policy standards

• Strong interpersonal skills, establishing rapport and working well with other

What you bring to VillageMD:

• 5+ years of experience in a network management-related role handling complex provider negotiations with accountability for business results

• Undergraduate degree or equivalent work experience

• Strong knowledge of health care services industry and value-based contracting

• Knowledge of healthcare reimbursement methodologies such Resource Based Relative Value System (RBRVS), DRGs, Ambulatory Surgery Center Groupers, etc..

• Must be willing and able to commute to practices throughout the Houston metropolitan area

About Our CommitmentTotal Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families.  Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.