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Network Management Consultant

United States, Chicago 55900.00 - 123500.00 USD / Year · Job Posted March 13, 2026
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Job Description

The Network Management Consultant supports the Senior Manager in advancing provider network performance across Medicare Advantage markets with a focus on quality improvement, risk adjustment optimization, and value-based care initiatives. This role collaborates with internal teams and external provider partners to implement strategies that improve clinical quality outcomes, coding accuracy, and overall network performance. The consultant assists in provider engagement, performance analysis, and operational execution of programs that support risk capture, quality ratings, and regulatory compliance within the Medicare Advantage line of business.

Job Responsibility

  • Supports the Senior Manager in advancing provider network performance across Medicare Advantage markets with a focus on quality improvement, risk adjustment optimization, and value-based care initiatives
  • Collaborates with internal teams and external provider partners to implement strategies that improve clinical quality outcomes, coding accuracy, and overall network performance
  • Assists in provider engagement, performance analysis, and operational execution of programs that support risk capture, quality ratings, and regulatory compliance within the Medicare Advantage line of business

Requirements

  • Bachelor’s Degree and at least one year experience developing and negotiating provider contracts OR 5 years managed care operations experience handling independent work with at least one year experience developing and negotiating provider contracts
  • Meet deadlines and work well under pressure
  • Verbal and written communication skills, organizational and planning skills
  • PC proficiency to include Microsoft Office
  • Analytical skills
  • Ability and willingness to travel within assigned territory, including overnight stays

Nice to have

Bachelor’s Degree in Business

What we offer

  • Curated development plans that foster growth and promote rewarding, fulfilling careers
  • Investment in professional development

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