Oversees small
to large-scale programs supporting strategic network objectives
Lead delivery of HCBS and LTSS network program initiatives in alignment with market and enterprise strategies
Interpret business and regulatory requirements to enable effective cross-functional coordination
Ensure timely completion of program deliverables in compliance with regulatory and leadership approvals
Drive continuous improvement through adoption of best practices, processes, and tools
Partner with functional leaders to define, assign, and track work supporting approved network strategies
Collaborate with market network leadership to ensure programs are appropriately resourced and managed
Maintain stakeholder engagement and communication, including issue escalation and resolution
Serve as subject matter expert and liaison for HCBS and LTSS strategic and operational partnerships
Support operational readiness for RFPs, implementations, onsite readiness, and program transitions
Develop market-specific HCBS/LTSS analyses for RFPs, including network landscape, competitiveness, and state requirements
Support contracting discussions for multi-market HCBS/LTSS network partnerships
Coordinate development of HCBS/LTSS provider-facing materials, contracting documents, compensation models, and training resources.
Perform any other job related duties as requested.

Bachelor's degree in business administration or related field required
Five (5) years Experience in HCBS/LTSS network contracting, provider engagement or network operations required
Previous experience in healthcare, preferably in managed health plan industry required
Strong proficiency with Microsoft Office and collaboration tools (e.g., Word, Excel, PowerPoint, Project, Visio, Teams)
Excellent analytical, problem-solving, and decision-making capabilities
Strong communication, relationship-building, and stakeholder management skills
Proven ability to lead projects, prioritize work, and meet deadlines
Demonstrated sense of urgency and customer-focused mindset
Experience within the healthcare payer environment, including Medicaid and Medicare programs
Excellent written and verbal communication skills
Ability to influence goals and metrics across a heavily matrix organization
Critical thinking and listening skills with strong attention to detail
Analytical mindset with the ability to interpret complex data and make data-driven decisions to improve network adequacy.

LTSS and HCBS Provider Network Manager

Key skills