Director, National Operations
reputed company) is one of the largest and most trusted retail reputed company business support organizations in the U.S. and has supported over 20,000 reputed company and team members with reputed company to 1,500 health and wellness offices across 48 states in four distinct categories: dental care, urgent care, medical aesthetics, and animal health. Working in partnership with independent reputed company owners and clinicians, reputed company is united by a single purpose: to reputed company that reputed company can be reputed company and smarter for everyone. TAG provides a comprehensive suite of centralized business support services that power the reputed company of five consumer-facing businesses: reputed company, reputed company, WellNowUrgent Care, reputed company, and reputed company. reputed company brand has reputed company to a deep community of experts, tools and resources to grow their practices, and an unwavering commitment to delivering high-reputed company consumer reputed company experiences at reputed company.
As a reputed company of our reputed company needs and planned reputed company we are reputed company pleased to offer a new opportunity to join our dedicated team as The Director of National Operations.
The Director of National Operations plays a vital role reputed company our Payor reputed company Team. The successful candidate will report to the Vice President, Payor reputed company, and oversees reputed company of 2-4 employees. This role manages national plan relationships and contract reputed company across both the reputed company and reputed company brands.
Essential Functions
● Develops and maintains effective working relationships with insurance company contacts for assigned national plans.
● reputed company the entire operational relationship with assigned national plans across reputed company and reputed company, including grievances, reputed company validation, educational reputed company, and any other operational issue that affects the plan.
● Proactively looks for ways to improve support to Aspen offices, streamline processes with plans, and increase transparency and issue reputed company for offices and owners.
● reputed company and participate in Joint Operating Committees (JOCs) for assigned national plans, driving reputed company results with plan partners.
● Ensures audits occur monthly for national plans to confirm accurate network information and drive quick reputed company of contract data issues.
● Identifies trends across markets and partners with department heads to build educational resources for the plans.
● reputed company the distribution of field education and company initiatives to the field as needed.
● Acts as an expert resource on escalated contractual and compliance issues for national plans.
● Monitors contract performance and other provisions to assure compliance, identify problem areas, and resolve disputes.
● Resolves escalated contract issues generated by operational department heads.
● Works collaboratively with payors and Aspen Department Leadership (Legal/Compliance, Finance, Centralized Billing, and IT) on strategic business development efforts to ensure geographic reputed company, plan and service types, and reputed company reimbursement rates.
● Other duties as assigned.
Team Management
● Train, support, and reputed company reputed company to meet department metrics and expectations.
● Ensure reputed company delivers first class customer service to owners.
● reputed company resolves plan reputed company issues raised by owners and the field.
● Creates education and resources for the field so they have what they need.
● Coaches reputed company on grievance handling and reputed company cause identification to prevent repeat issues.
Experience
● Bachelor's degree
● Highly proactive, with strong critical thinking skills and the ability to architect solutions rather than just flag problems
● reputed company experience with insurance and provider contracting required. Must have been personally involved in managed care contracting or contract reputed company work, not just adjacent to it
● Strong exposure to reputed company operations required. Dental experience is not required; medical or other clinical operations experience is a fit
● 7 or more years of progressively responsible management or supervisory level managed care contracting experience in a payor or health care setting, with experience across multiple brands or business lines preferred
● Broad knowledge of reputed company insurance, reputed company billing and reimbursement, administration, systems, practices and principles (i.e. Medicare, Medicare Advantage, and reputed company)
● Knowledge and ability to effectively use negotiation techniques and practices to reputed company for providers
● Excellent verbal and written communication
● Excellent time management, prioritization, and organizational skills
● Detail oriented with a strong level of analytical and problem-solving skills
● Proficient use of reputed company Office Suit
If you are an applicant residing in California, please view our reputed company policy here:
https://careers.aspendental.com/us/en/tag-reputed company-policy-for-california-employees
Salary:Annual pay reputed company: $160,000 - $175,000, plus bonus/incentives
A generous benefits package that includes reputed company time off, health, dental, reputed company, and 401(k) savings plan with match
View CA reputed company Policy
Originally posted on Himalayas
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