Network Performance Director in Grand Rapids, MI at Beacon Health Options

Date Posted: 10/12/2019

Job Snapshot

Job Description

We Help People Live their Lives to the Fullest Potential!

For more than 30 years, Beacon has changed the way people live with behavioral health conditions. Today, we are the undisputed leader in behavioral health management, serving 40 million people across all 50 states. At Beacon, we are committed to delivering a ‘world-class’ candidate experience from the moment you click ‘Apply’! Our goal is to help you reach your fullest potential, while utilizing your talents and expertise to help us deliver on our promise.

Do you have a passion for helping others? If so, we are looking for you!

Beacon is currently seeking a Network Performance Director to join our team at our Grand Rapids, MI office.  The Network Performance Director drive the development, implementation, and management of provider reimbursement models and initiatives in the assigned region. The Network Performance Director is accountable for developing the strategies that ensure the financial performance of the assigned regional networks. The director is accountable for the day-to-day (tactical) implementation of those strategies and initiatives. The Network Performance Director will work in a matrixed environment and must use informal influence to bring colleagues across the enterprise together to be collectively successful.

What does a typical day look like?

  1. Facilitate and lead the strategic planning process for the development, implementation and management of value based networks focused on favorable unit cost performance as well as overall medical costs.
  2. Formulate and implement alternative reimbursement methodologies for various provider types that ensure the financial performance of the network.
  3. Provide detailed network development and financial strategy focused on the clients budgetary limitations.
  4. Plan and manage at the strategic, operational, and tactical levels to the client and state levels.
  5. Align with strategic client partnership and business development executives, industry leads, and regional leadership teams to present a single front to represent a single vision for our customers.
  6. Set and execute aggressive network strategies for State and Local government accounts.
  7. Support the development of comprehensive networks aligned with product development, sales/marketing growth strategies and utilization management goals.
  8. Establish and enhance collaborative partnerships with regional providers.
  9. Identify and communicate appropriate medical cost management initiatives to support the overall success of the network financial performance.
  10. Identify and manage risks, resolve conflicts and remove barriers that impede the department’s ability to achieve company goals and objectives.
  11. Ensure collaboration with other corporate functional areas.
  12. Identify and obtain support and resources to implement new strategic opportunities.
  13. Other duties as assigned.

What you Contribute?

Education: Bachelor's Degree in Health Care, Business, Finance, or any other field and/or equivalent work experience in Network Management/Network Development, Provider Relations, Risk and /or Value Base Contracting.  Master’s level degree preferred

Work Experience:

  • 7+ years' experience in the health care industry, including a demonstrated track record of negotiating contracts with various provider types.
  • 3+ years direct management experience leading a successful team in contracting.

Travel: 25% - 60%

Knowledge, Skills & Abilities:

  • Demonstrated leadership and strong communication skills.
  • Ability to design effective, strategic initiatives based on current and trend utilization.
  • Strong problem-solving skills and attention to detail.
  • Strong presentation skills and demonstrated ability to effectively communicate detailed information to healthcare providers.
  • Strong project management skills including the ability to manage multiple projects and meet deadlines.
  • Strong interpersonal skills and good written and verbal communication skills.
  • Computer skills required, including working knowledge of MS Office: Word, Excel, and PowerPoint.
  • Ability to travel

What Makes Us Different?

  • Here, it’s not just a job – it’s an opportunity to change lives.
  • Our employees are learners, innovators and original thinkers.
  • Our mission and values guide the way we treat our members, providers and each other.

What We Have to Offer:

  • Healthcare benefits available starting day 1!
  • Health & wellbeing incentives, such as gym membership reimbursement
  • 401K with company match to help reach your future financial goals
  • Generous PTO, because we know life happens outside of work
  • Tuition reimbursement so you can keep reaching your fullest potential

If Beacon sounds like the place for you, what are you waiting for? Apply with us today to get started!

Beacon Health Options is proud to be an Equal Opportunity and Affirmative Action Employer as well as a Drug Free and Tobacco Free Work Environment. EOE/AA/M/F/Veterans/Disabled

At Beacon Health Options, our candidate's data privacy is a top priority. Our recruiting team conducts all communications using official company email (@BeaconHealthOptions.com). Only candidates who have applied for an open position through our Careers page (careers.beaconhealthoptions.com) will be engaged in our interview process. Beacon conducts all interviews in person or over the phone. At no time during the recruiting process will any Beacon recruiter request any financial or personally identifiable information from you.

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