XO Health Inc. is hiring a
Senior Director of Network Development in Worldwide

Summary

The Senior Director of Network Development at XO Health leads strategic planning, development, and management of the provider network in Georgia. They are responsible for implementing a comprehensive network development strategy, managing negotiations with providers, overseeing contract implementation, and fostering relationships with healthcare providers and stakeholders.

Requirements

• Bachelor’s degree in healthcare administration, business administration, or a related field
• Ten years of progressive leadership experience in network development, with demonstrated experience negotiating risk-based value-based care agreements
• Has developed provider relationships in Georgia
• Proven record of accomplishment of developing and implementing innovative healthcare payment models in a value-based environment

Responsibilities

• Develop and implement a comprehensive network development strategy aligned with the company's overall business goals and objectives
• Identify and evaluate potential network expansion opportunities in targeted markets, considering factors such as member needs, provider quality, cost-effectiveness, and market competitiveness
• Manage all aspects of key, strategic negotiations in assigned region, including analyzing publicly available market data and internal data; developing proposal presentations and letters; negotiating terms with providers; liaising with the legal team and other business areas to assess risks; drafting contract language and financial terms; and ensuring that final contracts are accurate and complete
• Manage the accurate and timely implementation of all provider contracts, paying special attention to meeting NCQA, HEDIS, Federal, State, and other regulatory requirements
• Track and monitor all KPI’s and timelines associated with network recruiting
• Oversee the ongoing management and performance of the provider network, ensuring high-quality and cost-effective services for our members
• Collaborate with internal teams to streamline network operations, resolve provider-related issues, and optimize network efficiency and effectiveness
• Foster strong relationships with healthcare providers, hospitals, physician groups, and other relevant stakeholders to enhance network development opportunities
• Collaborate with internal teams, including operations, finance, marketing, and product development, to ensure alignment and coordination in network-related initiatives
• Represent the company at industry conferences, meetings, and other relevant events to stay abreast of industry trends, establish thought leadership, and identify potential partnerships
• Build and lead a high-performing network development team, providing clear direction, mentorship, and guidance
• Develop and implement training programs to enhance team members' skills and knowledge in network development and management
• Manage budget and control expenses while meeting operational, financial, and service requirements

Preferred Qualifications

• Strong analytical and problem-solving skills and can interpret and utilize healthcare data to drive decision-making
• Excellent communication, negotiation, and interpersonal skills to build relationships and collaborate effectively with diverse stakeholders
• Demonstrated leadership skills to lead and manage a team effectively
• Self-assured and results oriented
• Strong financial acumen
• Commitment to the startup