Senior Manager, Network Management

Company Overview:

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.

Job Description:

Join the dynamic, locally based QualCare provider network team, supporting the regional provider network development and management for Workers’ Compensation, Auto/PIP, and Group Health QualCare network products. Drive network adequacy, competitive positioning, and provider partnerships across hospital systems, IPAs, ASCs, and professional/ancillary providers. Manage and develop a team of negotiators supporting NJ and neighboring state markets. Reports directly to the Regional Director, New Jersey.

Key Responsibilities:

• Strategic Network Leadership: Support and execute the QualCare provider network strategy to meet adequacy requirements while optimizing costs across multiple product lines
• Provider Relationship Management: Build and maintain collaborative relationships with health systems, physician groups, IPAs, ASCs, and ancillary providers to enhance network competitiveness
• Team Leadership & Development: Lead, mentor, and develop negotiation team through regular coaching, performance management, and capability building
• Contract Negotiation: Oversee complex negotiations with major health systems, IPAs, and provider groups, ensuring favorable terms across workers’ comp, auto/PIP, and group health products
• Market Analysis: Analyze NJ market dynamics, competitive landscape, and regulatory changes to identify opportunities and risks
• Cross-Functional Collaboration: Partner with credentialing, provider data & rate loading, client services, regulatory, legal, and other teams to ensure seamless network operations
• Performance Management: Maintain accountability for network adequacy, financial targets, compliance requirements, and client support

Qualifications:

Required Qualifications:

• Experience: 5-10 years healthcare contracting/network management experience with 3+ years leadership experience managing direct reports
• Education: Bachelor’s degree required; healthcare administration, business, or related field preferred
• Core Competencies:
• • Proven track record negotiating hospital, health system, IPA, ASC, and professional provider contracts
  • Deep understanding of healthcare reimbursement methodologies across multiple product lines
  • Experience with Workers’ Compensation and/or Auto/PIP preferred
  • Strong analytical skills for contract analysis and financial modeling
  • Excellent communication and relationship-building capabilities

Preferred Qualifications:

• Master’s degree or equivalent experience
• Knowledge of NJ healthcare market and regulatory environment
• Experience with ancillary rate schedules and specialty provider contracting

Benefits:

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 $98,000 - $120,000 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.

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