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Be ready to walk through how you build and maintain healthcare partner networks, resolve coverage or access problems, and measure partner performance. Expect scenarios on prioritizing limited network capacity and explaining tradeoffs to clinical or operations stakeholders.
Strong fit if you have managed provider or partner networks in health plans or managed care, communicate clearly with clinicians and vendors, and can operate across a multi-state U.S. footprint without relying on a single local office cadence.
As a Health Partner Network Manager at CareSource Management Services, a typical day centers on provider and partner relationships: checking network coverage gaps, following up on contracting or credentialing issues, reviewing partner performance, and coordinating with internal care or operations teams so members can reach needed services across the U.S. footprint.
The listing marks remote as no (0) and places the job in the United States, so plan on a non-remote arrangement unless CareSource Management Services states otherwise in the full posting.
Health Partner Network Manager work at CareSource Management Services typically means owning partner relationships, network adequacy, and coordination with internal teams—not clinical care delivery.
No certification family or resources were provided for this listing, so do not assume a required credential from this enricher alone.
Website: caresourcemanagementservices.com
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CareSource Management Services - US Position Summary The Health Partner Network Manager at CareSource Management Services is responsible for executing the Health Partner contracting strategy, developing contract provisions based on cost and quality analysis, and monitoring key metrics in the assigned Market. This role requires a strategic approach to value-based reimbursement (VBR) strategies and conducting annual effectiveness reviews of these strategies. Responsibilities Create, execute, and administer VBR strategies as directed by management <li-Conduct annual effectiveness review of contracting strategies to ensure alignment with corporate goals <li-Monitor key metrics for the assigned Market to evaluate performance against strategic objectives What You Bring Strategic thinking and execution skills in healthcare contracting Experience in developing and administering VBR strategies A strong understanding of cost, quality/analysis, and metrics monitoring in healthcare networks Excellent communication and analytical skills Working at CareSource Management Services CareSource Management Services offers a dynamic work environment where professionals can contribute to improving the health outcomes of communities. As part of our team, you will have the opportunity to make a significant impact in healthcare while working alongside dedicated and experienced colleagues. Apply Today To apply, complete your application directly on this page, or you'll be redirected to the employer's application platform to finish submitting there. Please ensure all required information is provided for consideration.
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