Network Development Manager

General Information

Position Purpose

Essential Job Functions

• Manage the network’s relationships with specialty practices. Develop clinical pathways with specialty practices, as needed, to meet contract performance.
• Assist with provider contracting, including managing notification and amendment processes.
• Manage the provider rosters for multiple value-based and fee-for-service programs.
• Manage financial and/or contracting committee meetings to assist with maintaining payor and
  provider relationships. This involves setting agendas, compiling minutes and Board reports, and tracking identified action items. Assist team by compiling minutes at joint operating committee meetings.
• Interpret payor reports and work with Monument Health leadership and team members to develop programs to address identified areas for improvement.
• Develop dashboards to illustrate to leadership and stakeholders how specialty practices are performing and forecast where final performance may land.
• Assist with the business development of provider support services and manage the developed programs.
• Work with stakeholders to identify education and resource development needs related to specialty practices. Work with the Monument Health team members to develop necessary materials and distribute to specialty practices.
• Assist with network growth and network adequacy activities, including presentation and marketing material development, and forecasting potential impact on overall contract performance and membership.
• Mentor, oversee, manage, and be accountable for the work product and portfolios of potential direct reports, vendors, or contractors.
• Light housekeeping (shared by all employees).
• Protect Monument’s value by keeping information confidential.
• Review systems and processes and suggest/make modifications to address issues
• Occasional travel is required for conferences and assignments.
• Perform other related duties as necessary for the purpose of ensuring the efficient and
  effective functioning of the organization.

Knowledge, Skills, Abilities, and Other Characteristics

• Healthcare experience or other experience having worked in a healthcare setting is preferred.
  1-3 years experience working in a healthcare contracting, finance or project management
  oriented role. Experience in credentialing is preferred.
• Must be a highly-motivated and self-driven individual who can learn quickly and be
  comfortable in a fast-paced, start-up environment where direct feedback is regularly provided.
• Must work well independently and on a team, both in person, remotely, and in hybrid formats.
• Must be skilled in high-impact, business communication and demonstrate critical thinking
  skills.
• Demonstrated ability to successfully manage direct reports, vendor or contractor relationships
  and work.
• Advanced proficiency in Microsoft Office Suite or Google Office Suite.
• Must adopt and live the Monument Health core values.

Education and Certifications Requirements

Monument Health Overview

Monument Health, LLC is a joint venture capitalized in 2015 and owned by Intermountain St.Mary’s Regional Medical Center and Primary Care Partners. Monument Health facilitates the largest and most comprehensive clinically integrated network (CIN) on Colorado’s Western Slope and delivers high-impact population health services. The high performing integrated network and population health services allow for better, more coordinated care and cost containment in the communities it serves.

Monument Health currently manages a network of 100,000+ members across the Western Slope, encompassing Commercial, Medicaid, CHP+, Medicare, Medicare Advantage, and Dual Special Needs (D-SNP) insurance plans with multiple payors. Self-funded employer groups may also utilize the Monument Health network and population health services on their TPA platforms. In addition, Monument Health offers analytics, population health and employee-based wellness programs and services.

Physical Aspects of the Job – Regularly Required to Perform Job Tasks

Physical Requirements 

Lifting Requirements

Working Environment

Vision Requirements

Hearing Requirements

Mental Requirements

OSHA Category Classification: Category III

The normal work routine of this position does not involve exposure to blood, body fluids, or tissues. The person holding this position will not be called upon to perform or assist in emergency medical care or first aid or to be potentially exposed in some way. Category III does include handling of implements, utensils, equipment; using public restrooms and public telephones; and personal contacts such as handshaking.