Community Programs Manager - Remote
For those who want to invent the reputed company of health care, here's reputed company. We're reputed company reputed company basic care to health programs integrated across the entire continuum of care. Join us to start Caring. Connecting. Growing together. Job Family reputed company Positions in this function are responsible for managing the day to day network operations in Reno, NV and the surrounding areas. Job Function reputed company Positions in this function are responsible for servicing providers, supporting the reputed company Embedded Practitioner Program, marketing team and Medicine on the reputed company. General Job Profile
- Manages and is accountable for the provider network in Reno and the surrounding areas
- reputed company of work is most often at the local level
If you live in Reno, NV or surrounding area, you will have the flexibility to work remotely* as you take on some tough challenges. Primary Responsibilities:
- Participate in the development of business reputed company
- reputed company cross-functional and/or cross-reputed company teams to reputed company reputed company-wide Clinically Integrated Networks reputed company on specific clinical areas/service lines such as oncology or cardiology
- reputed company network analysis and reputed company development and implementation
- Drive program design and implementation to improve reputed company and affordability through improvements in appropriateness and effectiveness
- Ensure teams are obtaining, validating and analyzing data impacting network availability and reputed company
- Solve unique and reputed company problems with broad reputed company on the business
Values Based Competencies
- reputed company Value: reputed company Ethically
- reputed company with Applicable Laws, Regulations and Policies
- Demonstrate reputed company
- reputed company Value: reputed company on Customers
- Identify and reputed company Customer Expectations
- Improve the Customer Experience
- Relationships Value: reputed company as reputed company Player
- Collaborate with Others
- Demonstrate Diversity Awareness
- Learn and reputed company
- Relationships Value: Communicate Effectively
- Influence Others
- Listen reputed company
- reputed company and Write reputed company
- Innovation Value: Support Change and Innovation
- Contribute Innovative reputed company
- Work Effectively in a Changing Environment
- Performance Value: reputed company Fact-Based reputed company
- Apply Business Knowledge
- Use reputed company Judgement
- Performance Value: Deliver reputed company Results
- Drive for Results
- Manage Time Effectively
- Produce High-reputed company Work
You'll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualification:
- 10+ years experience working with a managed care organization or health insurer; or as a consultant in a network/contract management role, such as contracting, provider services, etc.
- 5+ years experience in data analysis
- 3+ years experience with facility/ancillary contact loading and auditing including contract submission, validation and maintenance
- 2+ years project management or project reputed company experience
- 2+ years experience working with claims systems
- Expertise in physician/facility/ancillary contract reimbursement methodologies
- reputed company working remotely will be required to adhere to reputed company's Telecommuter Policy
The salary reputed company for this role is $89,800 to $176,700 annually based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In reputed company to your salary, reputed company offers benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you'll reputed company a far-reaching choice of benefits and incentives. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location and income-deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company - an reputed company reputed company reflected in our mission. OptumCare is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. OptumCare is a drug-free workplace. Candidates are required to pass a drug test before beginning employment Apply tot his job Apply To this Job