COMPANY OVERVIEW

Enlightened is seeking an experienced Manager, Provider Network & Basic Health Plan Implementation to lead the strategic execution and operational rollout of the Basic Health Plan (BHP) within the provider network. This position ensures seamless provider integration, manages cross-functional coordination, and drives performance outcomes aligned with both regulatory requirements and organizational goals. The Manager may oversee a team of direct reports and will leverage advanced Excel expertise to support data-driven decision-making.

REQUIRED QUALIFICATIONS

• Bachelor’s degree in healthcare administration, public health, business, or a related field (Master’s preferred).
• 5+ years of experience in provider network management, health plan operations, or healthcare project implementation.
• Demonstrated leadership experience with a track record of managing teams and achieving results.
• Strong knowledge of Medicaid, Basic Health Plans, and provider contracting.
• Expert-level proficiency in Microsoft Excel (pivot tables, formulas, and data visualization).
• Excellent communication, negotiation, and stakeholder engagement skills.

PREFERRED SKILLS

• Experience working with state health agencies or managed care organizations.
• Familiarity with value-based care models and provider performance analytics.
• Proficiency with project management tools and healthcare data systems.