Provider Network Manager
SeeMeHired, Bristol
Provider Network Manager
Salary not available. View on company website.
SeeMeHired, Bristol
- Full time
- Permanent
- Onsite working
Posted 2 days ago, 22 Apr | Get your application in today.
Closing date: Closing date not specified
Job ref: 5d69ebb0968849ec85ec575790e41486
Location ref: Bristol
Full Job Description
As Provider Network Manager, you'll manage the interface between Healix Health and consultants, specialists and practitioners operating within the private healthcare sector. You'll play a key role in ensuring the Healix brand is well represented across the provider marketplace, and that providers understand and meet our expectations for delivering high-quality, safe and cost-effective care. This role combines relationship management, clinical insight, commercial awareness and data-driven decision-making. What you'll be doing: Provider relationship management: · Build Healix Health brand awareness across consultants, specialists and practitioners · Act as the primary point of contact for provider escalations and partnership discussions · Develop credible, trusted relationships with senior clinical professionals Performance & quality management: · Work closely with clinical governance teams to address quality or performance issues · Engage directly with clinicians where issues are identified · Attend relevant industry working groups and share insight internally on changes to clinical coding and practice Commercial & contractual oversight: · Lead the ongoing review of the Healix Reasonable & Customary fee schedule · Support negotiation, renewal and management of provider agreements and fee structures · Assist the clinical team with ad-hoc negotiations for complex or non-standard procedures · Identify opportunities to optimise the provider network, reduce unwarranted variation and improve patient value · Implement and manage group practice contracts and performance of key specialist networks Operational coordination: · Support the delivery of clinical pathways and service development initiatives Data & insight: · Analyse activity, financial and quality data to influence provider behaviour · Produce reports, dashboards and insight summaries for senior stakeholders · Identify trends, risks and opportunities within the provider network Project & stakeholder management: · Lead or support projects related to network expansion, service transformation or pathway development
Essential experience & skills: · Experience in provider or network management within private healthcare, NHS or medical services · Strong understanding of acute care environments and consultant/surgeon workflows · Excellent relationship management skills with senior clinical stakeholders · Ability to interpret clinical, operational and financial data · Strong organisational and problem-solving skills · Clear, confident written and verbal communication Desirable: · Experience working directly with specialist or practitioner groups · Knowledge of UK private healthcare regulation, CQC standards and clinical governance · Commercial contract management experience · Understanding of value-based healthcare or pathway optimisation,
- Experience in provider or network management within private healthcare, NHS or medical services
- Excellent relationship management skills with senior clinical stakeholders
- Ability to interpret clinical, operational and financial data, Experience working directly with specialist or practitioner groups
- Knowledge of UK private healthcare regulation, CQC standards and clinical governance
- Commercial contract management experience
Founded in 2000 by two clinicians, Healix Health was built on the belief that healthcare works best when it's personal, not prescriptive. We are a leading UK corporate healthcare consultancy, partnering with Employee Benefit Consultancies (EBCs), HR, Finance and Reward leaders to design, fund and govern sustainable employee healthcare strategies. Our clients need more than an off-the-shelf insurance product - they need expert advice, transparency and long-term value. Specialising in self-funded healthcare trusts and clinically led claims management, we help organisations rethink how healthcare is structured, funded and delivered, aligning employee wellbeing with long-term commercial, workforce and financial objectives. We act as a long-term advisory partner rather than a transactional supplier., All around the world, Healix safeguards people's health and wellbeing. We offer UK employee healthcare benefits, and travel, medical and security assistance in every corner of the globe. Our purpose is to help people in difficult situations - whether that's a cancer diagnosis, a need for medical assistance when they're far from home, or being caught up in conflict or natural disaster. We talk to them, support them, and make sure they get the help they need. If necessary, we'll pull them out and bring them home. We're co-ordinators and problem-solvers: experts at navigating the global health and security landscape. Our teams of doctors, nurses, travel and medical co-ordinators and security experts make sure that your people will be looked after, whatever happens supported by technology designed help individuals, not slot them into a predetermined solution. We work with governments, broadcasters, NGOs, international corporations, major insurers and more. No two clients are the same: we adapt our services to their needs. More importantly, we adapt to the practical and human needs of the individuals we protect. Most of us are on the front line; we keep our back office lean. We don't use scripts, and we don't time calls. We never lose sight of the fact that we're dealing with real people. Instead, we focus on ensuring our highly trained specialists have the space and time they need to be effective. We let them use their initiative to get the job done, because the situations they face often throw up unexpected challenges - and no protocol survives contact with the real world. Our clients have thousands of employees and customers, at home and abroad, so they need a business big enough to handle any situation. But they chose Healix because they also need an organisation that's personal enough to care. Our people are driven to do things in the best way, not the way they have always been done. We work hard, and our efforts are rewarded with great development opportunities and a supportive team spirit. We want to nurture this friendly and dynamic company culture so that we can continue to attract diverse talent with a breadth of knowledge and world-class skills. As a part of Healix, you can expect a range of excellent benefits and an environment where people really do care.Our benefits Commitment to career development We are committed to helping our people build and develop successful careers. Our employees are given direct responsibility and opportunity to develop and grow whilst working on challenging and worthwhile projects in a rewarding and supportive environment. We invest in the continuous development of our team, offering on-going training and professional enhancement opportunities for those wishing to diversify or take additional responsibilities.
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