Remote Director, Provider Network Operations & Strategy

PacificSource

Bend (OR)

Sur place

USD 108 000 - 184 000

Plein temps

Il y a 3 jours
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Avantages offerts par ce poste

Flexible telecommute policy
Medical, vision and dental insurance
Paid time off and holidays
Tuition reimbursement and training

Résumé du poste

PacificSource seeks a senior leader to guide Provider Network Operations, focusing on network setup, data integrity, education, and cross-functional collaboration. You will drive provider relationships, contracts, and audits while aligning with strategic and regulatory goals.

The role requires strong leadership, experience with reimbursement methodologies, and the ability to manage large teams within a matrixed structure. Travel and change management are expected as part of growth.

Qualifications

  • Leadership at senior level overseeing healthcare provider network operations or related functions.
  • Knowledge of provider reimbursement methodologies, provider network operations, and healthcare data management.
  • Ability to lead people in a matrixed organization and build high performing teams.
  • Strong understanding of compliance requirements and NCQA standards.

Responsabilités

  • Guide strategic initiatives for Provider Network Operations and ensure provider data integrity and education.
  • Develop and execute strategies for provider education and relationship management to enhance collaboration and satisfaction.
  • Oversee planning of IT work plans, budgets, and resource needs for supervisory departments.
  • Hire, coach and evaluate staff, ensuring engagement and performance across the network.

Connaissances

Leadership
Financial acumen
Empowerment
Influential communications
Situational leadership
Strategic planning

Formation

Bachelor's degree in business/health care administration/finance
Associate degree + 2 years relevant experience
High school diploma + 4 years relevant experience

Description du poste

PacificSource seeks a senior leader to guide Provider Network Operations, focusing on network setup, data integrity, education, and cross-functional collaboration. You will drive provider relationships, contracts, and audits while aligning with strategic and regulatory goals.

The role requires strong leadership, experience with reimbursement methodologies, and the ability to manage large teams within a matrixed structure. Travel and change management are expected as part of growth.

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