Senior Manager, Provider Network Operations (Hybrid)

Blue Cross Blue Shield of Arizona; Phoenix (AZ); Hybrid; USD 90,000 - 120,000; Full time

Job summary

Blue Cross Blue Shield of Arizona seeks a senior leader for Provider Network Management to coordinate Medicaid segment communications and maintain a healthy provider network. The role emphasizes staff leadership, contract compliance, and cross-department collaboration to resolve provider issues and drive performance.

The position requires a Bachelor’s in health care or related field and a valid AZ driver's license, with onsite requirements 2 days per week in Arizona.

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, proactive, and meaningful interaction with internal departments to ensure contracts are implemented as intended.
• Represent administration at provider meetings (JOC Meetings).
• Achieve financial objectives.
• Communicate job expectations to staff.
• Plan, assign, monitor, and appraise employee’s job results.
• Develop, implement, and enforce policies and procedures.
• Maintain, train, orient, mentor, and evaluate staff.

Skills

Network operations

Provider relations

Team leadership

Staff management

Project management

Education

Bachelor's Degree in Health Care Administration/Business Administration/Finance/Economics/Accounting/Management

Master's Degree

Job description

Blue Cross Blue Shield of Arizona seeks a senior leader for Provider Network Management to coordinate Medicaid segment communications and maintain a healthy provider network. The role emphasizes staff leadership, contract compliance, and cross-department collaboration to resolve provider issues and drive performance.

The position requires a Bachelor’s in health care or related field and a valid AZ driver's license, with onsite requirements 2 days per week in Arizona.