Director, Network Management

Enlyte • Atlanta, GA

2d • $107,000 - $150,000 • Remote

About The Position

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.

Requirements

• Bachelor's degree required; healthcare administration, business, or related field preferred
• 7-10 years healthcare contracting, network management, or related experience with 3+ years in leadership role managing direct reports
• 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

Nice To Haves

• 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.)

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

Benefits

• Medical, Dental, Vision, Health Savings Accounts / Flexible Spending Accounts, Life and AD&D Insurance, 401(k), Tuition Reimbursement, and an array of resources that encourage a lifetime of healthier living.

What This Job Offers

• Job Type: Full-time
• Career Level: Director