Devoted Health logo
Devoted Health

Our mission: to dramatically improve the health & well-being of older Americans by caring for everyone like family

Provider Network Manager

ManagerManagerFull TimeRemoteLeadTeam 1,001-5,000Since 2017H1B No SponsorCompany SiteLinkedIn

Location

United States

Posted

50 days ago

Salary

$80K - $110K / year

Seniority

Lead

No structured requirement data.

Job Description

Provider Network Manager

Devoted Health

Job Description Must be located in Washington OR Oregon A bit about this role: This is a key in our organization. The role will be responsible for network development and management along with servicing for an assigned geographic area. The ideal candidate will possess 5+ years experience in recruiting and managing provider networks along with negotiating, reviewing and amending contracts. This experience will include thorough knowledge of contracting with physicians and physician groups, integrated delivery systems, health systems, and ancillary providers using various payment methodologies including fee-for-service and value based / risk. Ideally, the candidate will possess a very high level of business acumen and be able to exhibit it both internally and externally to a wide variety of audiences. Innovation, independence and confidence are key competencies that need to be exhibited. Responsibilities & Impact will include: - Development, maintenance and management of an adequate provider network in assigned geographical area - Maintaining relationships and all provider relations activities in assigned geographical area Negotiating and renegotiating contracts with providers as assigned - Engage internal subject matter experts and providers to identify opportunities to improve provider / member cost and quality performance - Monitoring of various reports to insure all necessary compliance requirements are met and maintained Reporting to leadership current status, risks, and potential opportunities in area of responsibility on a regular basis - Supporting the overall Network Team as required to achieve success for Devoted Health - Supporting assigned groups to improve performance in CMS STAR measures Required skills and experience: - 5+ years negotiating provider contracts including physician / provider group contracts with multiple payment methodologies including value based/risk - Provider servicing experience - Solid ability to navigate either Google or MS Suite of products High School Diploma or equivalent minimum - Experience in CMS STAR measures - Experience and relationships in the local market - Unrestricted driver's license to verify your eligibility and capability to fulfill the driving responsibilities associated with the position Desired skills and experience: - Ability to make quick, independent decisions - Mutually beneficial negotiation skills - Strong project management skills - Attention to detail - Ability to analyze financial and performance reports and identify trends/variances“Big Picture” thinking...Understanding impacts of decisions on network as a whole - Extremely effective oral/written communication skills Salary: $80,000-110,000 / year The pay range listed for this position is the range the organization reasonably and in good faith expects to pay for this position at the time of the posting. Once the interview process begins, your talent partner will provide additional information on the compensation for the role, along with additional information on our total rewards package. The actual base salary offered will depend on a variety of factors, including the qualifications of the individual applicant for the position, years of relevant experience, specific and unique skills, level of education attained, certifications or other professional licenses held, and the location in which the applicant lives and/or from which they will be performing the job. Our Total Rewards package includes: - Employer sponsored health, dental and vision plan with low or no premium - Generous paid time off - $100 monthly mobile or internet stipend - Stock options for all employees - Bonus eligibility for all roles excluding Director and above; Commission eligibility for Sales roles - Parental leave program - 401K program - And more.... *Our total rewards package is for full time employees only. Intern and Contract positions are not eligible. Healthcare equality is at the center of Devoted’s mission to treat our members like family. We are committed to a diverse and vibrant workforce. At Devoted Health, we’re on a mission to dramatically improve the health and well-being of older Americans by caring for every person like family. That’s why we’re gathering smart, diverse, and big-hearted people to create a new kind of all-in-one healthcare company — one that combines compassion, health insurance, clinical care, service, and technology - to deliver a complete and integrated healthcare solution that delivers high quality care that everyone would want for someone they love. Founded in 2017, we've grown fast and now serve members across the United States. And we've just started. So join us on this mission! Devoted is an equal opportunity employer. We are committed to a safe and supportive work environment in which all employees have the opportunity to participate and contribute to the success of the business. We value diversity and collaboration. Individuals are respected for their skills, experience, and unique perspectives. This commitment is embodied in Devoted’s Code of Conduct, our company values and the way we do business. As an Equal Opportunity Employer, the Company does not discriminate on the basis of race, color, religion, sex, pregnancy status, marital status, national origin, disability, age, sexual orientation, veteran status, genetic information, gender identity, gender expression, or any other factor prohibited by law. Our management team is dedicated to this policy with respect to recruitment, hiring, placement, promotion, transfer, training, compensation, benefits, employee activities and general treatment during employment.

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Johnson & Johnson Innovative Medicine logo

Field Reimbursement Manager - Immunology Dermatology – (Sioux Falls, South Dakota)

Johnson & Johnson Innovative Medicine

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Manager50 days ago
Full TimeRemoteTeam 10,001

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United States
$102K - $177K / year
Full TimeRemoteTeam 10,001+Since 1953H1B No Sponsor

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United States
CVS Health logo

Case Manager Registered Nurse

CVS Health

Bringing our heart to every moment of your health.

Manager50 days ago
Full TimeRemoteTeam 10,001+Since 1963H1B No Sponsor

We’re building a world of health around every individual — shaping a more connected, convenient and compassionate health experience. At CVS Health®, you’ll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger – helping to simplify health care one person, one family and one community at a time. Case Manager RN (100% Remote – Nationwide) Full‑Time | Work from Anywhere Nationwide | No Travel Required We’re seeking a compassionate and results‑driven Case Manager RN to support members through personalized, high‑quality care coordination. In this fully remote role, you’ll use clinical expertise, data‑driven insights, and strong advocacy to help members achieve optimal, cost‑effective health outcomes. What You’ll Do - Conduct comprehensive clinical assessments and identify care coordination needs - Develop, implement, and monitor individualized case management plans - Support inpatient review and discharge planning as appropriate - Advocate for members to maximize benefits and access appropriate services - Engage members through coaching, education, and motivational interviewing - Identify and escalate quality‑of‑care concerns - Deliver exceptional customer experience while collaborating with care teams and Medical Directors Schedule - Monday–Friday, 9:00 AM–5:30 PM (your local time zone) - Occasional rotating late shift as needed (11:30 AM–8:00 PM EST) Required Qualifications - Active, unrestricted RN license in your state of residence - Willingness to obtain additional state licenses (company paid) - 3+ years of acute care RN experience (Med‑Surg or Critical Care preferred) - Strong clinical judgment, decision‑making, and organizational skills Preferred Qualifications - Compact or multi‑state RN license - Certified Case Manager (CCM) - Telephonic case management or telephonic clinical experience Education - Associate Degree in Nursing (required) - BSN (preferred) Why Join Us? - 100% remote—live in any state - No travel required - Meaningful work improving member health and outcomes - Supportive, collaborative team environment Apply today to bring your RN expertise to a flexible, impactful case management role. Anticipated Weekly Hours 40 Time Type Full time Pay Range The typical pay range for this role is: $54,095.00 - $129,615.00 This pay range represents the base hourly rate or base annual full-time salary for all positions in the job grade within which this position falls. The actual base salary offer will depend on a variety of factors including experience, education, geography and other relevant factors. This position is eligible for a CVS Health bonus, commission or short-term incentive program in addition to the base pay range listed above. Our people fuel our future. Our teams reflect the customers, patients, members and communities we serve and we are committed to fostering a workplace where every colleague feels valued and that they belong. Great benefits for great people We take pride in offering a comprehensive and competitive mix of pay and benefits that reflects our commitment to our colleagues and their families. This full‑time position is eligible for a comprehensive benefits package designed to support the physical, emotional, and financial well‑being of colleagues and their families. The benefits for this position include medical, dental, and vision coverage, paid time off, retirement savings options, wellness programs, and other resources, based on eligibility. Additional details about available benefits are provided during the application process and on Benefits Moments. We anticipate the application window for this opening will close on: 05/02/2026 Qualified applicants with arrest or conviction records will be considered for employment in accordance with all federal, state and local laws.

United States
$54.1K - $129K / year
Sumitomo Pharma America, Inc. logo

Regional Business Manager (Southeast)

Sumitomo Pharma America, Inc.

We are united in our mission to deliver patient-needed therapies sooner.

Manager50 days ago
Full TimeRemoteTeam 1,001-5,000H1B No Sponsor

Sumitomo Pharma Co., Ltd., is a global pharmaceutical company based in Japan with operations in the U.S. (Sumitomo Pharma America, Inc.), focused on addressing patient needs in oncology, urology, women's health, rare diseases, cell & gene therapies and CNS. With several marketed products and a diverse pipeline of early- to late-stage investigational assets, we aim to accelerate discovery, research, and development to bring novel therapies to patients sooner. For more information on SMPA, visit our website https://www.us.sumitomo-pharma.com or follow us on LinkedIn. We are currently seeking a dynamic, highly motivated, and experienced individual for the position of Multi- Specialty Regional Business Manager. The Multi-Specialty Regional Business Manager is responsible for the sales and profitability of their assigned region. They use their business plan to execute designated strategy and monitor their region’s sales activities. Job Duties & Responsibilities The Multi-Specialty Regional Business manager manages and motivates their team of 8-10 Portfolio Specialists to accomplish multiple product set objectives. Business Plan Development & Execution: Evaluates and refines promotional strategies, business plans and sales forecasts. Executes the sales strategy across Portfolio Specialists to drive market position and achieve multiple product sales targets. Responsible for the management of all sales opportunities, and performance monitoring of regional sales plan. Tracks sales activities; ensures effective execution of the tactical and operational components of the sales plan across multiple products and channels: Long Term Care, Retail, and Home Healthcare (HHC)... Budget Management: Develops operating budgets for Region’s assigned Portfolio Specialists. Accountable for their respective regions, including ownership of operational efficiency and process management. Operate region within the assigned expense budget. Customer Management: Proactively troubleshoot client issues. Represent SMPA before selected customers (e.g. clinics, home healthcare, wholesalers, buying groups, etc.) and acts as liaison on customer needs/opportunities, bids, pricing, returns, etc. Partnerships: Partner with internal and external constituents to maximize trust, customer satisfaction and drive value, profitable growth and increase SMPA portfolio use in sales targets. Work closely with the Area Sales Director and Account teams to meet sales and profit objectives while adhering to the corporate sales and marketing strategy, provide market insight to management and maintain up to date records on all direct reports. Staff Development: Responsible for leading and developing a team of Portfolio Specialists to achieve sales targets for multiple SMPA products. Ensure all employees receive training and development to enhance their overall experience, performance, and support their career aspirations. Create an environment to allow SMPA employees to differentiate the customer experience from competitors and build brand loyalty. Provide coaching and mentoring to build a more effective sales force. Direct the day to day activities of the assigned staff; assist employees in developing individual development plan. Execute the Region plans for leading, developing, recruiting, hiring, training, and retention. Compliance Management: Ensure full compliance of selling activities (for self and team) within area of responsibility with all legal and regulatory compliance requirements established by SMPA and govern the sale and promotion of its pharmaceutical products Key Core Competencies Be self-motivated, independent professionals who demonstrate a high level of leadership, initiative and business acumen. Ability to assess/analyze data and the construct a business plan that achieves set business goals. Demonstrated ability to multi-task and handle multiple projects and customers at one time is essential. Strong coaching and leadership skills. The candidate must be able to work closely with marketing, Managed Markets and other strategic partners. Strong influence and negotiating skills Selected candidate must be able to exercise appropriate judgment when assessing the needs of each individual direct report. Job requires a high level of initiative and independence. Excellent written and oral communication and PC skills (PowerPoint, Word, Excel and sales force automation systems). Work hours will include meetings scheduled outside of normal working hours. Travel within region required – will include car and may include overnight air travel depending upon region. Some national travel to corporate headquarters, training and sales meetings will also be required on a periodic basis. Education & Experience Bachelor’s Degree is required, preferably in Business or Life Sciences. MBA or pursuance of one, is preferred. Minimum of 6-8 years (w/o Master’s) or 4-6 years (with Master’s) of relevant experience in the biotech or pharmaceutical industry, which includes a minimum of 3 years pharmaceutical sales experience. 1+ years pharmaceutical sales management experience strongly preferred. Internal commercial experience (e.g. marketing, training, sales operations, analytics) highly desirable. Candidates must provide two most immediate years of documented sales performance and two years of annual reviews. Candidate must have extensive market experience with prescribers and institutions. Demonstrate a consistent track record of strong sales performance, with product launch experience preferred. Experience in the Primary Care and Specialists strongly preferred. Institutional experience preferred. Knowledge of the payer landscape is essential. The base salary range for this role is $144,000.00 - $180,000.00 Base salary is part of our total rewards package which also includes the opportunity for merit-based salary increases, short incentive plan participation, eligibility for our 401(k) plan, medical, dental, vision, life and disability insurances and leaves provided in line with your work state. Our robust time-off policy includes flexible paid time off, 11 paid holidays plus additional time off for a shut-down period during the last week of December, 80 hours of paid sick time upon hire and each year thereafter. Total compensation, including base salary to be offered, will depend on elements unique to each candidate, including candidate experience, skills, education and other factors permitted by law. Disclaimer: The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all responsibilities, duties, and skills required of personnel so classified. All personnel may be required to perform duties outside of their normal responsibilities from time to time, as needed. Confidential Data: All information (written, verbal, electronic, etc.) that an employee encounters is considered confidential, in accordance with applicable law. Compliance: Achieve and maintain Compliance with all applicable regulatory, legal and operational rules and procedures, by ensuring that all plans and activities for and on behalf of Sumitomo Pharma America (SMPA) and affiliates are carried out with the "best" industry practices and the highest ethical standards. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Mental/Physical Requirements: Fast-paced environment handling multiple demands is involved. Must be able to exercise appropriate judgment as necessary. Requires a high level of initiative and independence. Excellent written and oral communication skills required. Requires ability to use a personal computer for extended periods of time. Travel Requirements: Primarily remote role with periodic on-site meetings in office. Must be able to travel domestically and internationally as needed. Drug Screening Requirements Applicants for sales/field, manufacturing, or other designated roles will be required to submit to a pre-employment drug test. Sumitomo Pharma America (SMPA) is an Equal Employment Opportunity (EEO) employer Qualified applicants will receive consideration for employment without regard to race; color; creed; religion; national origin; age; ancestry; nationality; marital, domestic partnership or civil union status; sex, gender; affectional or sexual orientation; disability; veteran or military status or liability for military status; domestic violence victim status; atypical cellular or blood trait; genetic information (including the refusal to submit to genetic testing) or any other characteristic protected by law. Sumitomo Pharma America (SMPA) endeavors to make its application process accessible to all. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact SMPA at reasonableaccomodations@us.sumitomo-pharma.com. This contact information is for accommodation requests only and cannot be used to inquire about the status of applications.

United States
$144K - $180K / year