Interim Senior Director of Network Management at American Health Care Association

Washington, District of Columbia, United States -

Full Time

Start Date

Immediate

Expiry Date

15 May, 26

Salary

165000.0

Posted On

14 Feb, 26

Experience

5 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Strategic Leadership, Network Management, Contract Negotiation, Clinical Integration, Credentialing, Project Management, Prioritization, Planning, Execution, Payer Contract, Post Acute Care Knowledge

Industry

Hospitals and Health Care

Description

AHCA/NCAL is seeking an Interim Senior Director of Network Management to improve lives by delivering solutions for quality care by providing strategic leadership and day-to-day operations of AHCA/NCAL Solutions contracted network(s). The Interim Senior Director has temporary responsibility for the performance, sustainability, and outcomes of their assigned Network(s). This temporary role supports the Board of Managers and all related committees and is accountable for supporting contract negotiation and implementation support, clinical integration efforts, credentialing and other core Network functions. Qualifications & Skills: Bachelor’s degree required, graduate degree in related field preferred. A minimum of five years of healthcare experience required. Post acute care knowledge required. Network Development, payer contract, payer negotiation experience a plus. Project management experience required. Ability to effectively prioritize, plan, manage and execute a variety of projects required. Duties & Responsibilities: 1. Support the Board of Managers by coordinating meeting agenda development to promote meaningful engagement, facilitating the annual goal-setting process, and ensuring administrative compliance with Board activities as outlined in the Operating Agreement and Participation Agreement. 2. Establish and support Network committees (including Quality, Contracting, and Compliance Committees) in alignment with Board direction and Network priorities. 3. Ensure operational compliance with all elements of the Operating Agreement and Participation Agreement. 4. In partnership with the Clinical Care Manager and Medical Director, advance clinical integration activities as directed by the Network and its Board. 5. In collaboration with the assigned Contracting team members, manage payer contract negotiations under messenger or CIN models, facilitate contract implementation, and oversee ongoing contract administration. 6. Oversee the identification and development of contract education opportunities for Network members to support understanding, adoption and how to maximize value of negotiated agreements. 7. Assist with contract and payment issue resolution related to Network-negotiated agreements. 8. Develop and execute Network strategy, aligning operational priorities with Board-approved goals and performance expectations. 9. Perform additional duties as assigned.

Responsibilities

This interim role involves providing strategic leadership and managing the day-to-day operations and performance of assigned contracted network(s) to ensure quality care delivery. Key duties include supporting the Board of Managers, establishing committees, ensuring operational compliance, advancing clinical integration, and managing payer contract negotiations and administration.