Director, Provider Network Operations (Hybrid AZ)

Blue Cross Blue Shield of Arizona; United States; Hybrid; USD 90,000 - 120,000; Full time

Job summary

Blue Cross Blue Shield of Arizona is seeking a Medicaid Segment Provider Network Manager to coordinate communications between Medicaid and the provider network and ensure an adequate network. You will supervise staff, guide contract execution, and drive provider satisfaction in Arizona.

The role requires at least 3 years in network development, a relevant bachelor’s degree, and an AZ driver's license. Hybrid/onsite work within Arizona with full-time commitment and budget responsibilities.

Qualifications

• Minimum of three (3) years’ experience working in network development.
• Bachelor’s Degree in Health Care Administration, Business Administration, Finance, Economics, Accounting, or Management.
• Valid Arizona Driver’s license required as travel is required.

Responsibilities

• Lead the team and projects on a proactive, timely, accurate, strategic, and independent basis while producing successful results.
• Oversee and has direct accountability for relationship management, managing trends and provider issues, staff management, and provider database management for hospital, ancillary, and physician contracting.
• Develop goals, work plans, and schedules for Provider Network Management staff and ensure that they are executed.
• Routine interaction with internal departments to ensure terms in contracts are implemented as intended.
• Represent administration at provider meetings (JOC Meetings) and achieve financial objectives.
• Plan, assign, monitor, and appraise staff results.
• Develop, implement, and enforce policies and procedures.

Skills

Provider network dev

Provider relations

Team leadership

Budget management

Strategic planning

Communication

Problem solving

Presentation skills

Education

Bachelor's degree in healthcare/ business/ finance/ economics/ accounting/ management

Job description

Blue Cross Blue Shield of Arizona is seeking a Medicaid Segment Provider Network Manager to coordinate communications between Medicaid and the provider network and ensure an adequate network. You will supervise staff, guide contract execution, and drive provider satisfaction in Arizona.

The role requires at least 3 years in network development, a relevant bachelor’s degree, and an AZ driver's license. Hybrid/onsite work within Arizona with full-time commitment and budget responsibilities.