What are the responsibilities and job description for the Network Manager, Integra position at Care New England?
Job Summary:
The Network Manager oversees and maintains Integra's Accountable Care Organization (ACO) provider network, promoting high-quality, efficient, patient-centered care. Care and support of the ACO provider network is essential to achieving the goals of the ACO and meeting the requirements of our payer contracts. The Network Manager is responsible for all administrative functions related to network development and management; this includes ACO provider relationship development and management, ACO provider roster management, and ACO provider performance management, among other responsibilities.
Responsibilities:
- Manage provider recruitment and retention with leadership guidance.
- Act as the primary contact for Integra providers and staff, fostering relationships and streamlining communication.
- Visit provider practices to understand needs and provide updates to the Integra team.
- Maintain regular contact with in-network and prospective providers, ensuring timely follow-ups.
- Oversee administrative tasks for Integra POD and Network Management Committee meetings, including agenda preparation, logistics, and follow-ups.
- Handle provider onboarding and contractual processes.
- Maintain an up-to-date provider roster in collaboration with analytics.
- Gather routine updates from providers (e.g., new locations, added/terminated NPIs).
- Manage payer contract roster requirements, including monthly updates to payers.
- Track network performance in quality, cost, and utilization.
- Collaborate with the Senior Director of Quality and PCP Performance to support provider performance improvement.
- Develop and implement a performance evaluation framework for Integras specialty network.
- Organize and manage network development information.
- Coordinate and deliver presentations for providers and staff.
- Perform additional duties as assigned.
Requirements:
Bachelors degree required with minimum 3 5 years experience in the health care industry, or equivalent combination of education and experience.
Care New England Health System (CNE) and its member institutions, Butler Hospital, Women & Infants Hospital, Kent Hospital, VNA of Care New England, Integra, The Providence Center, and Care New England Medical Group, and our Wellness Center, are trusted organizations fueling the latest advances in medical research, attracting the nations top specialty-trained doctors, and honing renowned services and innovative programs to engage in the important discussions people need to have about their health.
Americans with Disability Act Statement: External and internal applicants, as well as position incumbents who become disabled must be able to perform the essential job-specific functions either unaided or with the assistance of a reasonable accommodation, to be determined by the organization on a case-by-case basis.
EEOC Statement: Care New England is an equal opportunity employer. All applicants will be considered for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status
Ethics Statement: Employee conducts himself/herself consistent with the ethical standards of the organization including, but not limited to hospital policy, mission, vision, and values.
