Director, Network Management

Full TimeRemoteTeam 501-1,000Since 2013H1B No SponsorCompany SiteLinkedIn

Location

Texas

Posted

13 hours ago

Salary

$109.9K - $164.9K / year

High School10 yrs expExperience acceptedEnglish

Job Description

• Responsible for meeting the network management needs for assigned geography • Leads and facilitates join operations committee meetings (JOC) • Manages provider service representatives to maximize engagement • Reviews, analyzes and develops strategies based on historical performance data • Trains and manages direct reports to capture and document provider interactions • Provides weekly status update to VP - Track and report network performance • Analyzes current and projected network needs from cost/utilization standpoint

Job Requirements

  • Minimum 10 years of experience in managed care or health care field
  • Solid understanding of reimbursement methodologies, contract language
  • Minimum 5 years of experience with delegated and non-delegated providers
  • Minimum 2 years of supervisory experience
  • Excellent knowledge of hospitals and managed care finance and contracts
  • Excellent Microsoft Office skills, including Word and Excel
  • Effective problem solving, organizational and time management skills
  • Ability to communicate positively, professionally and effectively with others.

Benefits

  • Health insurance
  • Opportunities for growth and innovation
  • Flexible working hours

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