Network Development Manager | Health Plans
The University of Arizona Medical Center - Tucson, AZ

This job posting is no longer available on Banner University Medical Center.

Division Summary:
The University of Arizona Health Network Health Plans has offices in Tucson and Phoenix and administers the following four (4) health plans:
University Family Care – a health plan for AHCCCS and KidsCare members. AHCCCS is Arizona’s Medicaid program and KidsCare is Arizona’s health insurance for children under nineteen (19) years of age.
Maricopa Health Plan - has been providing complete health care services to families, moms and kids in Maricopa County for nearly twenty (20) years.
University care Advantage (HMO SNP) – is a Medicare Advantage Special Needs Plan available to individuals who are eligible for Medicare Part A, enrolled in Medicare Part B and AHCCCS (Arizona Medicaid Program) or live in the plan service area (Cochise, Maricopa, Pima, Pinal, or Santa Cruz County).
University Healthcare Group - a community-rated health plan that provides health care coverage for small business owners with two (2) to fifty (50) employees.

Position Summary:
Under the general direction of the Network Development Director, the Network Development Manager will ensure a successful provider network and optimal functioning of Network Development Contracting and Database and Provider Relations staff through guidance and direction of contracting strategy, provider recruitment, new provider orientation and education, contract negotiation, contractual rate analysis, retention of contracted providers and problem resolution. In addition the Network Development Manager will act as a liaison to ensure all providers are efficiently and effectively informed and updated by the Plan in line with their executed Agreement.

Required Qualifications:
  • Bachelor's Degree or equivalent combination of work experience and/or education in Health Administration, Business or related field
  • Six (6) years' experience in contracting, strategic development, fiscal and network planning, provider relations, and/or health plan operations in a managed care setting preferred
  • This position requires travel to and/or from UAHN facilities and other off-site locations as an essential part of the position

Preferred Qualifications:
  • Master's Degree

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