The range for this role is $81,500.00 - $111,500.00
Actual base pay will be determined based on a successful candidate's work location, skills/abilities, experience, and education.
The Mission
At Christian Care Ministry we believe that Christians can, and should, share in one another’s burdens. Through the use of Medi-Share®, a healthcare sharing ministry for Christians, we cultivate that belief. To that end, our Mission Statement is as follows: Connecting people to a Christ-centered community wellness experience based on faith, prayer, and personal responsibility.
The Team
Everyone at Christian Care Ministry is in agreement with our Statement of Faith, which outlines our core beliefs. Although we aren’t perfect people, we are serving our perfect God and our Members to the best of our ability.
The Job
The Network Development Manager manages, negotiates and develops contract agreements with high value healthcare providers and delivery systems. This role is instrumental in executing standard agreements, letters of agreements to potential providers for the strategic development of the provider network. The Network Development Manger interacts effectively with management, operations and administrative support teams to ensure a successful contract negotiation ensuring consistency with contracting strategies, accessibility, quality, compliance, financial goals and cost initiatives.
Essential Job Duties & Responsibilities
- Manage complex contracting and negotiations for fees for service and value-based reimbursements with hospitals and other providers (e.g., Hospital systems, Ancillaries, and large physician groups)
- Build relationships that nurture partnerships and seek broader value-based business opportunities to support the local market strategy
- Initiate and maintain effective channels of communication with internal partners including but not limited to, billing and payment operations, Care Management. Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing and Service
- Manage strategic positioning for provider contracting, develops networks and identifies opportunities for greater value-orientation and risk arrangements
- Contribute to the development of alternative network initiatives; Supports and provides direction to develop network analytics required for the network solution
- Work to meet contracting targets (adequacy, accessibility, medical cost spend, etc.), while preserving an adequate network, to achieve and maintain Company's competitive position
- Prepare, analyze, review, and project financial impact of larger or complex provider contracts and assesses alternate contract terms
- Manage key provider relationships and is accountable for critical interface with providers and business staff
- Demonstrate knowledge of providers in an assigned geographic area through understanding the interrelationships as well as the competitive landscape
- Strong understanding of and familiarity with payers and players in the healthcare landscape
- Leverage prior history and success leading and managing multiple contracts to deliver results
- Track current contract performance and process renegotiations and changes, amendments, and extensions to existing agreements
- Review and revise provider contracts as necessary to reflect updates in business strategy or organizational developments
- Represent company with high visibility providers and community groups
- Contribute to the exercise and expression of Christian Care Ministry’s Christian beliefs
- All other duties as assigned
Essential Skills & Abilities
- Proven experience of healthcare provider network financial and contract arrangements between payers and providers
- Excellent communication skills – ability to create and deliver effective and professional multi-mode communications and presentations
- Relationship Management - ability to develop and manage highly complex provider relationships
- Detailed knowledge of healthcare reimbursement methodologies, including incentive-based models
- Team player – proven ability to develop and foster healthy working relationships in a fast-paced and matrix organization
- Strong analytical skill – ability to organize, make sense of, and effectively present data in a compelling way helping others make data driven decisions
- Critical thinking and problem-solving skill – ability to navigate challenges through logic, active listening, and clear action steps to move forward
- Contract Management skill – ability to monitor and manage contract provisions and proactively take steps to ensure adherence
- Proven experience with negotiation – ability to drive to consensus between two parties who may have different interests for the benefit of all parties
Core Competencies/Demonstrable Behaviors
- Customer Focus - building strong customer relationships and delivering customer-centric solutions
- Ensures Accountability – holds self and others accountable to meet commitments
- Action Oriented – takes on new and tough challenges with a sense of urgency, high energy, and enthusiasm
- Balances Stakeholders – anticipates and balances the needs of multiple stakeholders
- Situational Adaptability – adapts approach and demeanor in real time to match the shifting demands of different situations
- Decision Quality – makes good and timely decisions that keep the organization moving forward
Education and/or Experience
- 5-7 years’ Hospital contracting and negotiating experience involving complex delivery systems and organizations required
- Bachelor’s degree in Business, Healthcare Administration, Finance, or Economics required; equivalent combination of other education and job specific experience may be considered
- MBA or MHA preferred
Supervisory Responsibilities
- This job has no supervisory responsibilities
Incentives & Benefits
We work hard to serve our Medi-Share Members, but know we can only do that if we invest in our employees professionally, financially, physically, socially, and spiritually. We purposefully invest in our employees so that our employees can invest in others.
For full-time employees working 30 hours or more, some of our benefits include, but are not limited to:
• 100% paid Medical for employees/99% for family
• Generous employer Health Savings Account (HSA) contributions
• Employer-paid Life Insurance (3x salary) and Long-term Disability Insurance
• 6 weeks of paid parental leave (for both mom and dad)
• Dental - two plans to choose from
• Vision
• Short-term Disability
• Accident, Critical Illness, Hospital Indemnity
• 401(k) – up to 4% match on ROTH or Traditional contributions
• Generous paid-time off and 11 paid holidays
• Wellness plan including Financial, Occupational, Mental/Spiritual, and Physical health incentives up to $50/mo
• Employee Assistance Program including no cost, in-person mental health visits and employee discounts
• Monetary Anniversary Awards Program
• Monetary Birthday Awards
Minimum Age Requirement: Due to the nature of the responsibilities associated with this position—including independent decision-making, access to confidential information, and potential exposure to regulated environments—candidates must be at least 18 years of age at the time of hire. This requirement is in accordance with applicable federal and state labor laws and is intended to ensure compliance with workplace safety and legal standards.