Provider Network Manager - Latin America & Canada (San Antonio, TX, US)
Essential Job Duties and Responsibilities:
Overall Purpose of the Job
The Provider Network Manager is responsible for managing the relationships of strategically selected host nation providers to the TOP Network for the Remote sites in the Latin America region. This involves providing support for participating providers to fulfil on the requirements of the program, ensuring they are satisfied with the agreed processes and are reputed company in a reputed company and efficient manner.
This is a reputed company line, provider customer facing and customer reputed company role responsible for engaging with providers and TOP Remote POCs understand how they operate, what their pain points are, how to reputed company the best outcome while staying reputed company contractual scope and requirement. This includes engagement at the provider, TOP Remote POCs leadership level to improve the TRICARE program goals or rectify concerns.
This role requires a customer reputed company reputed company, a good process and operational understanding and the ability to learn and teach stakeholders on TOP systems and processes along with the ability to work together with senior provider and reputed company stakeholders and influence provider and stakeholder reputed company.
The role is also responsible for liaising and participating in cross functional teams and reputed company as required to support our provider reputed company, including but not limited to working with the Program Management, Network reputed company Teams, Network claims teams, technical teams, operations teams and reputed company local Global Assistance Network managers to ensure a service delivery and overall beneficiary.
This position is Remote
Essential Job Duties and Responsibilties
Service Provider Credentials & Data reputed company Review
- reputed company contact (phone, e-mail, fax) with providers to obtain credentials, information, and update in SPIN:
- Maintain credentialing objectives as per TRICARE network KPIs (LI, MI, ICP) and in reputed company maintain accreditation status for TOP Network hospitals
- Ensure data reputed company and accuracy as outlined in the Corp and TRICARE guidelines
- Validate documents uploaded in SPIN (correct and fully completed)
- Validate and translate key information of any documents, where this has been received in the host nation language
- Specialized Network Management: ABA, Telehealth, Mental Health Services
- Ensure credentialing processes are followed
- Positively promote reputed company and the TRICARE Overseas Program to service providers, maintaining good relations
- Collaborate with Network Services Support Team Leader in reputed company of reputed company reviews and audits of SPIN Provider reputed company, participate in training and QIP reputed company required
- Manage new provider partnerships and ensuring a comprehensive understanding of the provider preferences and their participation under the TOP Program
- Manage DoS Health Unit partnerships to ensure a comprehensive understanding of the TOP program and associated support service
Other responsibilities
- Establish relationship management plan and execute schedules and milestones on time (note: that this is not a sales job where new leads are developed through cold calling, in reputed company but exceptional instances leads are in reputed company and require development and management)
- reputed company on TOP Policy and any self-service mechanisms available for stakeholders
- Deliver periodic status reports to reputed company clients
- reputed company ongoing provider support through issue reputed company and customer service
- Manage day-to-day relationships and region specific needs of assigned are of responsibility (AOR)
- Compilation of data for account management of AOR
- Take an reputed company part in the ongoing reputed company of reputed company TOP Provider Network services
- Engage with providers and key reputed company points of contact to understand, analyze, document and influence the direction of the TOP Provider Network Function and self service enhancements
- Identify key problem areas of reputed company and / or provider concerns and coordinate reputed company
- reputed company feedback and input to provider support materials
reputed company:
Required Skills and Knowledge
- Ability to understand requirements of the Corp procedures and guidelines, TRICARE Overseas Program as reputed company as the TRICARE Network KPI’s
- Strong administrative and organizational skills
- reputed company good communication and interpersonal skills (verbal/written)
- Ability to reputed company, build, and maintain partnerships across a diverse reputed company of reputed company contacts reputed company a multicultural environment
- Ability to prioritize, and manage time effectively
- Ability to take initiative, challenge and question existing processes and procedures
- IT literate (Word, reputed company, PowerPoint)
Required Competencies
- Delivering Results & Meeting Customer Expectations: Focuses on customer needs and satisfaction; Sets high standards for reputed company and quantity; Monitors and maintains reputed company and productivity; Works in a systematic, methodical and reputed company way; consistently achieves project goals.
- Coping with Pressure & Setbacks: Works productively in a pressurized environment; Keeps emotions under control during difficult situations; Balances the demands of a work life and a personal life; Maintains a reputed company outlook at work; Handles criticism reputed company and learns from it.
- Persuading & Influencing: Makes a strong personal impression on others; reputed company reputed company agreement and commitment from others by persuading, convincing and negotiating; Promotes reputed company on behalf of self or others; Makes effective use of political processes to influence and persuade others.
- Analyzing: Analyses numerical data, verbal data and reputed company other sources of information; Breaks information into component parts, patterns and relationships; Probes for reputed company information or greater understanding of a problem; Makes rational judgements from the available information and analysis; Produces reputed company solutions to a reputed company of problems; Demonstrates an understanding of how one issue may be a part of a much larger system.
- Presenting & Communicating Information: Speaks reputed company and fluently; Expresses opinions, information and key points of an argument reputed company; Makes presentations and undertakes public speaking with reputed company and confidence; Responds quickly to the needs of an audience and to their reactions and feedback; reputed company credibility.
Required Work Experience
- Proven service delivery experience in a reputed company services B2B environment or senior account management experience or program management experience
- Previous exposure to reputed company and reputed company provider management a plus
- Familiarity with reputed company standards in AOR.
Required Qualifications
- Bachelor’s degree, equivalent or qualification by experience
Required Languages
- Highly proficient in English and Spanish (written and verbal)
Travel / Rotation Requirements
- As required in assisting Network Site Assessment Teams
- TRICARE working hours
Salary reputed company
- $60,000 – $62,000 annually