Director, Network Management
Location
Texas
Posted
10 days 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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