Job Details

Overview

Candidates must be Louisiana residents. Responsible for the strategic and tactical direction of all activities for an assigned region(s) related to developing and maintaining the physician, practitioner, facility and organization services delivery system. Position is responsible for developing and implementing a plan that meets the customer requirements within budget. Assures access to a network of services that supports member access and that the Care Management Centers (CMCs) are within cost of care plans. Establishes overall direction and plan and working processes between Network Management and Network Administration staff, including credentialing, communication (provider services line, letters, website, etc), database integrity and maintenance, regular reports, and rate loading. Develops and implements a Network strategy to assure long‑term mutually successful physician, practitioner and facility and organization provider relationships. Directs all provider (physician, practitioner and organizations) recruitment activities. Provides supervision, development and mentoring of the Field Network Management Department in meeting objectives and functions. Manages financial goals (e.g., control care cost trends, profitability) as defined by the business operations, network and CMC senior management team, including assuring that the network is cost effective, marketable, stable and offers appropriate access and CMCs meet cost of care plan.

The job duties listed above are representative and not intended to be all‑inclusive of what may be expected of an employee assigned to this job. A leader may assign additional or other duties which would align with the intent of this job, without revision to the job description.

Requirements

• 8+ years of progressively more responsible health care administration experience (finance/contract administration, physician/provider relations) with strong preference for managed care experience.
• 3 years experience in a leadership role.
• Broad‑scoped financial expertise, with financial modeling experience.

Job Details

Title: Network Director – Louisiana Resident

Grade: 30

Required Work Experience: Healthcare, Management/Leadership, Network

Preferred Work Experience: (none listed)

Education: Bachelor's (required), Master's (preferred)

License and Certifications: (required/ preferred) – not specified

Salary Range: Minimum $105,230, Maximum $178,890

Benefits

Magellan offers a comprehensive benefits package that includes health, life, voluntary and other benefits and perks designed to improve physical, mental, emotional and financial wellbeing. Short‑term incentives may also be available.

Equal Opportunity

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco‑free workplace. EOE/M/F/Vet/Disabled. Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures. Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law. Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants.