Senior Manager, Network Operations

Your Role

The Network Operations team is responsible for working with cross-functional teams to shape and execute the strategic vision for Network Management ensuring financial stewardship, driving transformative initiatives to optimize network performance, enhance provider and member experience and strengthen governance across multiple lines of business. The Senior Manager, Network Operations will report to the VP, Network Operations. In this role you will lead the Network Transitions team to establish processes and procedures to coordinate with interdepartmental teams to manage and monitor the operational efforts associated with provider terminations. This responsibility involves communicating with executive and line of business leadership, ensuring internal teams are informed and resourced to provide optimal member experience. This role will also work with the VP, Network Operations to manage various projects aligned with the department's strategic and operational objectives.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Bachelor's degree in business administration, Healthcare Administration, or a related field is required

• Minimum of ten years of relevant experience in health plan strategy, managed care operations, or provider contracting, including at least four years in management or matrixed management roles

• Previous experience in extensive healthcare program or project management

• Outstanding verbal and written communication abilities, with demonstrated effectiveness when engaging executive leadership

• Comprehensive knowledge of managed care risk contracts and the operational requirements involved in managing a provider network

• Proven capability to manage a portfolio; prioritizing multiple tasks and objectives simultaneously

• Skilled in handling highly confidential information and serving as a liaison between business leaders and various internal and external stakeholders.

• Demonstrated ability to build enduring, trustworthy relationships and effectively interact across all organizational levels, both internally and externally

• Capable of influencing higher-level management decisions related to large-scale tactical adjustments to organizational enhancements

• Able to collaborate and work strategically in a team setting with various professional, technical, and administrative staff, integrating resources in a timely and organized manner