Job details
Job type full-time
Full job description
We exist for american workers and their employers – who are the backbone of our economyThat is where centivo comes in – our mission is to bring affordable, high-quality healthcare to the millions of americans who struggle to pay their healthcare bills.
Centivo is looking for a provider network contract manager to join our team!
As a provider network contract manager, you will work in concert with our market management team to develop the centivo partnership plan provider network (physicians, hospitals, ancillary groups & facilities, etc.) by identifying and evaluating hospital, physician, and ancillary providers to ensure centivo partnership plan networks are high-value and meet network adequacy requirementsResponsible for building and maintaining strong relationships with our preferred providers within a geography as we develop a network that is high-value and sufficiently geographically broad to serve centivo clients and members.
What you’ll do:
Working under guidance of the director provider contracting, you will:
Be responsible for negotiating our contracts with centivo’s preferred providers.
Ensure centivo partnership plan networks meet cost predictability, trend management, care affordability and quality measures for both patient/members and employers.
Ensure an appropriate distribution of provider specialties within the network.
Be able to understand, and effectively communicate complex or technical information.
You should have:
7+ years’ experience in the health care industry.
5+ years’ experience with provider contracting.
Undergraduate degree or equivalent experience.
Advanced excel and powerpoint skills.
And although it’s not required, we’d love it if you have experience with capitation-based contracts.
Who we are:
Centivo is a new type of health plan for self-funded employers that is built to save 15 percent or more compared to traditional insurance carriers and is easy to use for employers and employees.
Centivo’s mission is to bring lower cost, higher quality healthcare to the millions of working americans who struggle to pay their healthcare billsWith centivo, employers can offer their employees affordable and predictable costs, a high-tech member experience, exceptional service, and a range of benefit options including both traditional and proprietary networksCentivo develops high-value networks in partnership with leading local healthcare providers and uses data analytics to refine the network and navigate members to the right providersMembers get a partner for all their healthcare needs through a primary care-centered model, as well as expanded access and fully integrated virtual care.
With offices in new york city, buffalo, ny and denver, co, centivo is backed by leading investors including bain capital ventures, maverick ventures, bessemer venture partners, ingleside investors, rand capital, company ventures, and oxeon investmentsLearn more at centivo.com.
Apply today!
