15 часов назад
Supervisor, Provider Network
56 200 - 101 000$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Supervisor, Provider Network (Managed Care): Supervising network accounts operations and coordinating provider contracting, issue resolution, compliance audits, and health plan events with an accent on managed care policies, provider documentation, and quality initiatives. Focus on resolving claims and provider-system issues, maintaining state and health plan compliance, and improving network account workflows.
Location: Remote, nationwide within the United States
Salary: $56,200–$101,000 per year
Company
provides managed healthcare services focused on improving access to care for individuals, families, and communities.
What you will do
- Supervise the daily workflow of the network accounts department.
- Support provider contracting activities and reduce contract implementation errors.
- Resolve escalated provider issues and maintain service standards.
- Coordinate provider orientations, training sessions, meetings, and health plan-sponsored events.
- Review network account documentation and audit compliance with health plan and state standards.
- Develop and monitor quality initiatives, resolve claims and provider-system issues, and maintain Provider Manuals.
Requirements
- Bachelor’s degree or equivalent experience.
- 3+ years of experience in network account management, provider contracting, or billing within a managed care environment.
- Knowledge of managed care and state Medicaid program guidelines.
- Ability to work remotely from within the United States.
Nice to have
- Supervisory or lead experience.
Culture & Benefits
- Full-time employment with a flexible approach to remote, hybrid, field, or office work schedules.
- Health insurance, 401(k), and stock purchase plans.
- Tuition reimbursement, paid time off, and holidays.
- Equal opportunity workplace focused on diversity and accessible healthcare.
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