Remote Provider Network Performance Manager

CareMore Health; Tucson (AZ); Híbrido; USD 81 000 - 122 000; Tempo integral

Resumo da oferta

CareMore Health is seeking a Network Support Manager to optimize the provider network for access, quality, and performance. You will drive operational execution, engage providers, and align with value-based goals.

The role requires experience with provider contracts, facility contracts, and reimbursement. MBA or related graduate degree is strongly preferred, with a background in health care operations.

Qualificações

• BA/BS degree in a health or business field required.
• MBA, MHA or related graduate degree strongly preferred.
• Experience in health care payer/provider networks is needed.

Responsabilidades

• Oversee day-to-day training, guidance and department management; resolve issues.
• Analyze and coordinate strategies, policies and programs for accurate provider contracts across lines of business.
• Create tools to assist contract implementation and administration.
• Interface with providers on contractual obligations and policy updates.

Conhecimentos

Medicare Advantage

CMS quality programs

claims analysis

provider dashboards

EHR workflow navigation

provider contracting

Contract administration

Team leadership

Formação académica

BA/BS degree

MBA or MHA preferred

Descrição da oferta de emprego

CareMore Health is seeking a Network Support Manager to optimize the provider network for access, quality, and performance. You will drive operational execution, engage providers, and align with value-based goals.

The role requires experience with provider contracts, facility contracts, and reimbursement. MBA or related graduate degree is strongly preferred, with a background in health care operations.