Principal, Provider Network Transition Strategy (Healthcare)

Location: Remote within the United States; must reside in the Central or Eastern Time Zone. Occasional travel to hirify.global offices for training or meetings may be required, with travel of up to 10%.

Salary: $138,900–$191,000 per year, plus eligibility for a bonus incentive plan.

Company

hirify.global is a U.S. healthcare and insurance company serving members through hirify.global insurance services and CenterWell healthcare services.

What you will do

• Lead enterprise strategy for provider network transitions, terminations, and disruption management.
• Assess member, provider, operational, regulatory, financial, and business impacts of network changes.
• Partner with Provider Contracting, Market Operations, Member Experience, Stars, Sales, Service, Compliance, and executive leaders on mitigation strategies.
• Drive governance, executive decision-making, reporting, analytics, and performance monitoring for significant provider network events.
• Improve coordination, processes, provider experience, member experience, and organizational readiness across a matrixed organization.
• Advise senior leaders on risks, opportunities, priorities, and future capabilities related to provider network change management.

Requirements

• 7+ years of experience in provider contracting, provider network management, healthcare operations, healthcare consulting, or related healthcare strategy.
• 3+ years of project, program, or people leadership experience.
• Strong knowledge of provider network operations, provider contracting strategy, healthcare delivery systems, and payer-provider relationships in Medicare Advantage and/or Medicaid.
• Experience leading large-scale cross-functional initiatives and influencing stakeholders without direct authority over execution teams.
• Experience using data and analytics for business decisions and executive-level recommendations.
• Must reside within the Central or Eastern Time Zone.

Nice to have

• Bachelor's degree.
• Experience navigating regulatory, operational, and member experience considerations in a health plan environment.

Culture & Benefits

• Remote work from a dedicated home workspace that protects member PHI and HIPAA information.
• Home internet requirements of at least 25 Mbps download and 10 Mbps upload.
• Medical, dental, and vision benefits.
• 401(k) retirement savings plan, paid time off, holidays, and paid parental and caregiver leave.
• Short- and long-term disability, life insurance, and other wellness benefits.