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Manulife · 8 hours ago

Director, Provider Network Development and Relationship Management

Boston, MA

Full-time

Hybrid

Senior Level, Lead/Staff

$121K/yr - $217K/yr

8+ years exp

Manulife is currently transforming their Long Term Care business to enhance customer care and independence. The Director, Provider Network Development & Relationship Management, will lead the strategic development of the provider network, ensuring adequacy and fostering relationships with healthcare providers and internal stakeholders.

FinanceFinancial ExchangesFinancial Services

Responsibilities

Lead cross-functional team to deliver the design, development, and expansion of provider networks to meet regulatory, service coverage, and business objectives

Drive & lead provider network contracting processes, ensuring competitive and compliant agreements with measurable discounts

Directly manage key provider network relationships with internal stakeholder teams (product, sales, operations, IT)

Track, monitor and manage network performance metrics, data quality, and KPIs; implement improvements based on analytics and feedback

Proactively collaborate with IT vendors to streamline scheduling, data exchange, and provider onboarding processes

Ensure adherence to HIPAA, CMS, and state-specific regulations, particularly in Medicaid and Medicare environments

Qualification

Provider network managementHealthcare contractingContract negotiationCRM systemsEHR/EMR platformsData management toolsStrategic planningFinancial analysisCommunicationRelationship-buildingProject management

Required

Bachelor's degree required; Master's in Healthcare Administration, Public Policy, or related field preferred

8 –15+ years in provider network management, healthcare contracting, or payer strategy roles

Familiarity with CRM systems, EHR/EMR platforms, and provider data management tools

In-depth knowledge of sourcing and procurement principles and best practices; in-depth experience and expertise with supplier contractual terms and conditions to mitigate legal and business risk

Strong negotiation and relationship-building abilities

Strategic planning and execution

Financial and pricing analysis

Excellent communication and presentation skills

Ability to manage complex projects and competing priorities

Background in provider networks

Benefits

Health, dental, mental health, vision, short- and long-term disability, life and AD&D insurance coverage

Adoption/surrogacy and wellness benefits

Employee/family assistance plans

Various retirement savings plans (including pension/401(k) savings plans and a global share ownership plan with employer matching contributions)

Financial education and counseling resources

Paid time off program in the U.S. includes up to 11 paid holidays, 3 personal days, 150 hours of vacation, and 40 hours of sick time (or more where required by law)

Full range of statutory leaves of absence