Director, Network Management

At Enlyte, we combine innovative technology, clinical expertise, and human compassion to help people recover after workplace injuries or auto accidents. We support their journey back to health and wellness through our industry-leading solutions and services. Whether you're supporting a Fortune 500 client or a local business, developing cutting-edge technology, or providing clinical services you'll work alongside dedicated professionals who share your commitment to excellence and make a meaningful impact. Join us in fueling our mission to protect dreams and restore lives, while building your career in an environment that values collaboration, innovation, and personal growth.

Be part of a team that makes a real difference.

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.

Key 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

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

Preferred Qualifications:

• 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.)

What We Offer:

• Remote Flexibility: Work from anywhere within the region Strategic Impact: Shape network positioning across diverse, high-growth markets Leadership Development: Collaborative management style focused on empowerment and growth Competitive Package: Base salary, management incentive program, comprehensive benefits, flexible PTO Growth Opportunity: Be part of network development initiatives supporting business expansion

We’re committed to supporting your ultimate well-being through our total compensation package offerings that support your health, wealth and self. These offerings include 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. Benefits eligibility may differ depending on full-time or part-time status. Compensation depends on the applicable US geographic market. The expected base pay for this position ranges from $107,000 - $150,000 annually, and will be based on a number of additional factors including skills, experience, and education.  

The Company is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, gender, gender identity, sexual orientation, age, status as a protected veteran, among other things, or status as a qualified individual with disability.  

Don’t meet every single requirement? Studies have shown that women and underrepresented minorities are less likely to apply to jobs unless they meet every single qualification. We are dedicated to building a diverse, inclusive, and authentic workplace, so if you’re excited about this role but your past experience doesn’t align perfectly with every qualification in the job description, we encourage you to apply anyway. You may be just the right candidate for this or other roles.
                                                             

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