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Director of Network Relations
Evry Health. Develop and continuously refine Evry Health's provider network strategy, including geographic prioritization, contracting targets, payment methodology, and network composition objectives .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in provider network strategy development, including contracting negotiations and compliance with adequacy regulations. Proven leadership in managing network relations teams and delivering performance insights to executive leadership.
Highest-signal resume keywords
Managed Care ContractingProvider Network DevelopmentValue-Based ContractingNetwork Adequacy ComplianceTeam Leadership
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Contract NegotiationPayment MethodologyNetwork Composition ObjectivesSERFF FilingFee Schedule Benchmarking
Soft Skills
CoachingStrategic GuidancePerformance Management
Certifications & Qualifications
Bachelor's DegreeMBA
Industry Keywords
Healthcare AdministrationProvider RelationsTexas Commercial Health Insurance MarketNetwork Adequacy Monitoring
About the role
Key responsibilities & impact- Develop and continuously refine Evry Health's provider network strategy, including geographic prioritization, contracting targets, payment methodology, and network composition objectives
- Lead, coach, develop, and performance-manage the Network Relations team
- Set territory objectives and provide strategic guidance on complex contracting situations
- Personally lead high-value, strategically significant provider contract negotiations
- Design innovative value-based contracting models aligning provider incentives with quality outcomes
- Oversee network adequacy monitoring and SERFF filing activity
- Serve as Evry Health's primary point of accountability to regulators on network adequacy matters
- Partner with Actuarial on fee schedule benchmarks and rate targets
- Deliver regular executive-ready network performance reports to the CMO and leadership team
Requirements
What you’ll need- Bachelor's degree in Business, Healthcare Administration, Economics, or related field
- 10+ years in managed care contracting, provider network development, or provider relations
- 3+ years in a director-level role managing a network contracting team
- Expertise negotiating multi-methodology (incl. value-based/risk) contracts and SERFF/adequacy compliance
- MBA, Healthcare Administration, or closely related graduate degree preferred
- Experience building a network function from inception at a growth-stage health plan preferred
- Experience in both health plan-side and provider-side contracting roles preferred
- Knowledge of Texas commercial health insurance market and adequacy requirements preferred