Director, Network ManagementMitchell International
Mitchell International
Director, Network Management
US-GA-Atlanta
Job ID: 26-18787
Type: Regular Full-Time
# of Openings: 1
Category: Product & Program Management
Mitchell International, Inc.
Overview
At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.
Be part of a team that makes a real difference.
Responsibilities
Lead the Eastern Seaboard regional provider network (WV, MD, DC, VA, TN, NC, SC, MS, AL, GA, FL) to develop, maintain, and optimize provider relationships that deliver high-quality, cost-effective networks for Workers' Compensation and Auto products. Drive network adequacy, competitive positioning, and provider partnerships, particularly for entities that support injured workers and auto injury claimants. Manage and develop a team of 6 negotiators and 1 manager across diverse state markets with varying regulatory environments and provider dynamics. Reports directly to the Vice President, Network Management.
Key Responsibilities
- Strategic Network Leadership: Design and execute regional network strategy to meet adequacy requirements while optimizing costs across 11 states
- Provider Relationship Management: Build and maintain collaborative relationships with health systems, physician groups, and ancillary providers to enhance network competitiveness
- Team Leadership & Development: Lead, mentor, and develop a high-performing team through regular coaching, performance management, and capability building
- Contract Negotiation: Oversee complex multi-state negotiations with major health systems and provider groups, ensuring favorable terms and competitive positioning
- Market Analysis: Analyze regional market dynamics, competitive landscape, and regulatory changes to identify opportunities and risks
- Cross-Functional Collaboration: Partner with claims, client services, regulatory, and other regional teams to ensure seamless network operations
- Performance Management: Maintain accountability for network adequacy, financial targets, compliance requirements, and client satisfaction metrics
Qualifications
- Education: Bachelor's degree required; healthcare administration, business, or related field preferred
- Experience: 7-10 years healthcare contracting, network management, or related experience with 3+ years in leadership role managing direct reports
- Core Competencies: Proven track record negotiating major provider contracts and managing complex health system relationships Deep understanding of healthcare reimbursement methodologies, fee schedules, and payment structures
- Experience with Workers' Compensation and/or Auto networks strongly preferred
- Multi-state market experience with knowledge of varying regulatory environments Strong analytical skills for contract analysis, market assessment, and financial modeling
- Excellent communication and relationship-building capabilities
- Demonstrated leadership experience developing teams and managing performance
Preferred Qualifications:
- Master's degree or equivalent experience Knowledge of ancillary rate schedules and specialty provider contracting Experience with value-based contracting arrangements Professional certifications (CPCU, etc.)
What We Offer:
- Remote Flexibility: Work from anywhere within the region Strategic Impact: Shape network positioning across diverse, high-growth markets Leadership Development: Collaborative management style focused on empowerment and growth Competitive Package: Base salary, management incentive program, comprehensive benefits, flexible PTO Growth Opportunity: Be part of network development initiatives supporting business expansion
Salary:
Equal employment opportunity, including veterans and individuals with disabilities.
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