Provider Network Manager

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Provider Network Manager

About Healix Health:

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.

About the role

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

• Collaborate with clinical, commercial, operations, marketing and finance teams

• Represent provider management in cross-functional workstreams and external forums

About you:

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

About the company

All around the world, Healix safeguards people's health and wellbeing.

Required Criteria

• 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

Desired Criteria

• Experience working directly with specialist or practitioner groups
• Knowledge of UK private healthcare regulation, CQC standards and clinical governance
• Commercial contract management experience

Skills you'll need