Director of Network Relations

🔥 15 hours ago

🇺🇸 United States – Remote

⏰ Full Time

🔴 Lead

👔 Director

👻 Ghost score 12%

What it means: how likely this posting is sitting open without active hiring.How to read it: 60% or higher means we think this is a ghost. Lower scores are less of a worry.How we score it: age, reposts, open roles vs team size, how fast jobs close, and whether pay is listed.Fine print: an estimate from public data, not a judgment of the company. Real jobs can score high, so treat it as a hint, not a fact.

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Evry Health

WebsiteLinkedInAll Job Openings

51 - 200 employees

Founded 2017

🏥 Healthcare

💼 Consulting

🛡️ Insurance

Healthcare • Consulting • Insurance

Evry Health is a modern, mobile-first health insurance company that provides fully insured employer health plans and personalized care teams. Built for midsize and larger employers (primarily in Texas), Evry offers no-copay, no-deductible plans, 24/7 virtual care, integrated wellness programs, and individualized support from nurses, nutritionists, and doctors to simplify costs and improve employee health. The company emphasizes a human, member-focused approach and digital tools (iOS/Android app) to deliver care and benefits.

📋 Description

• Develop and continuously refine Evry Health's provider network strategy, including geographic prioritization, contracting targets, payment methodology, and network composition objectives • Lead, coach, develop, and performance-manage the Network Relations team • Set territory objectives and provide strategic guidance on complex contracting situations • Personally lead high-value, strategically significant provider contract negotiations • Design innovative value-based contracting models aligning provider incentives with quality outcomes • Oversee network adequacy monitoring and SERFF filing activity • Serve as Evry Health's primary point of accountability to regulators on network adequacy matters • Partner with Actuarial on fee schedule benchmarks and rate targets • Deliver regular executive-ready network performance reports to the CMO and leadership team

🎯 Requirements

• Bachelor's degree in Business, Healthcare Administration, Economics, or related field • 10+ years in managed care contracting, provider network development, or provider relations • 3+ years in a director-level role managing a network contracting team • Expertise negotiating multi-methodology (incl. value-based/risk) contracts and SERFF/adequacy compliance • MBA, Healthcare Administration, or closely related graduate degree preferred • Experience building a network function from inception at a growth-stage health plan preferred • Experience in both health plan-side and provider-side contracting roles preferred • Knowledge of Texas commercial health insurance market and adequacy requirements preferred