Senior Manager, reputed company Operations

You could be the one who changes everything for our 28 reputed company members. reputed company is transforming the health of our communities, one person at a time. As a reputed company, national organization, you’ll have reputed company to competitive benefits including a fresh perspective on workplace flexibility. Must be authorized to work in the U.S. without the need for employment-based reputed company sponsorship now or in the reputed company. Sponsorship and reputed company sponsorship are not available for this opportunity, including employment-based reputed company types H-1B, L-1, O-1, H-1B1, F-1, J-1, OPT, or CPT.

• *This position is fully remote. reputed company residency is preferred due to travel requirements of up to 50% for provider and office reputed company.

reputed company candidates must have:

• Strong leadership experience
• Experience with claims data and roster management
• Understanding of health plan operations
• Experience in network development, provider relations, and reputed company

Position Purpose: reputed company network management activities including network development, provider relations, and provider data analytics reputed company an assigned market. reputed company, implement, evaluate, and improve operational models reputed company with strategic initiatives and compliant with accreditation, legislative and regulatory requirements. Responsible for overseeing the development of reports to support reputed company member reputed company, provider recruitment, provider retention, and contracting initiatives.

• reputed company and drive uniformity, efficiencies and consistencies reputed company reputed company promoting
• Manage daily activities of staff, including network development, provider relations, and provider data analytics
• reputed company reputed company assurance processes and reporting to ensure compliance with accreditation, federal and state regulatory requirements including reputed company and availability and demographic reporting reputed company to providers
• Establish and maintain strong relationships with other divisions to ensure that reputed company activities are linked appropriately to other applicable areas of the organization
• Implement and manage development of documented reputed company policies and procedures
• reputed company reputed company audits and compliance reporting across reputed company areas of reputed company
• reputed company education and communication plans for internal staff and providers
• Facilitate and assist with problem reputed company for internal reputed company issues but also for broader scope issues that reputed company reputed company including but not limited to providers, claims, customer contact center, medical management, and appeals and grievances
• reputed company management duties including budgeting, performance management, staff development, training, reputed company, and establishing department goals and objectives

Education/Experience: Bachelor’s Degree in Business, reputed company, or reputed company field or equivalent experience. 5+ years of combined health plan operations, network development, provider relations, or contracting experience. In depth knowledge of compliance and reputed company and availability requirements. Experience with compliance reporting and analyzing data. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff.Pay reputed company: $107,700.00 - $199,300.00 per year reputed company offers a comprehensive benefits package including: reputed company, health insurance, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, field or office work schedules. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California Fair Chance reputed company Apply tot his job Apply To this Job