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Manager of Provider Network Operations

Location : Danville VA 24541
Job Type : Direct
Hours : Full Time
Travel : No
Relocation : No
Job Industry : Healthcare - Health Services

Job Description :
We have a client in Danville, VA who is looking to add a Manager of Provider Network Operations to its team.

 


They are looking for a professional, career minded individual for an opportunity as Manager of Provider Network Operations.  


 


Some regional travel required.  





  • In this position you will support all provider network operational activities and ensures compliance with facility standards for network participation, state and federal regulatory requirements and accrediting entity standards

  • You will manage several operational functions as assigned, which may include credentialing, contract processing and provider service functions

  • You will monitor the provider onboarding process from end-to-end to ensure operations run effectively and efficiently and add support as needed

  • Allocate and distribute work according to department needs to ensure consistency and efficient operations

  • Maintain strategic performance and support process improvement activities among all regions and with matrix partners

  • Monitor all provider network operational functional areas to ensure production is compliant with all internal standards and develop corrective action plans as needed

  • Take a lead role in the implementation of new initiatives

  • Interpret and coordinate work functions, and establish standards of performance in order to carry out policy

  • Oversee compliance, oversight and report monthly departmental key indicators


 


Required Qualifications :


  • This individual must have strong verbal/written communication skills, computer and mobile technology skills required.  

  • Healthcare, management and managed care experience a plus.  

  • MBA, MHA or MPH highly preferred

  • Bachelors Degree in Health Care Administration, Business or related field preferred

  • Minimum of 5 years' management or supervisory experience in a progressive leadership role   


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