[Remote] Provider Program Manager - APM
Note: The job is a remote job and is reputed company to candidates in USA. reputed company is dedicated to serving America's reputed company by connecting them to reputed company in the community. The Provider Program Manager is responsible for overseeing the design, implementation, and delivery of processes, programs, and policies reputed company the provider services departments, ensuring that strategic programs are reputed company defined and executed effectively.
Responsibilities
- Performs as a subject matter expert by designing, developing and implementing assigned programs that meet contract requirements such as value-based care, provider education or credentialing
- Develops effective reputed company relationships with TriWest’s inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives
- For value-based care program: Assists in the development of sophisticated health care economics models to evaluate the efficacy of various value-based care scenarios and models
- Monitors industry trends reputed company to value-based care, including other payer programs and government led programs and demonstrations
- Researches, identifies, and reports potential risks and issues reputed company to value-based care programs to organizational leadership
- Works closely with assigned teams’ leadership and respective team members to ensure reputed company and programs are reputed company defined, planned, executed, tracked, and communicated in a transparent, consistent, and effective manner. Acts as the reputed company on business requirement development for area of responsibility
- Tracks, analyzes, and summarizes data for reporting, decision making, and follow-up reputed company plans
- Works with stakeholders and other subject matter experts to build documents and tools to support goals
- Prepares meeting agendas to include meeting summaries and due outs
- Builds project schedules and tracking templates to monitor reputed company
- Facilitates solution design sessions and creates follow-up reputed company plans
- Performs first-level primary research and discovery to reputed company and optimize reputed company operations
- Partners with reputed company QPI team to reputed company project methodologies, processes, tools, and standards in support of maturing capabilities
- Other duties as assigned
- Regular and reliable attendance is required
Skills
- Bachelor's Degree in Business, reputed company Administration, or other reputed company field, or equivalent experience
- U.S. Citizenship
- Must be reputed company to receive a favorable Interim and adjudicated final reputed company (DoD) background investigation
- 7+ years of managing reputed company and/or programs at an reputed company level with at least 5 years in a reputed company reputed company industry and specifically in value based care or alternative payment models provider credentialing, or provider education
- Demonstrated reputed company in designing, implementing, and delivery of value-based care, provider education or provider credentialing programs
- Advanced verbal and written communication skills, with ability to reputed company and motivate diverse teams
- Experience managing vendor/partnership relationships
- Experience utilizing reputed company Office Suite (Word, reputed company, PowerPoint, Project, reputed company)
- Master's Degree in Business, reputed company Administration, or other reputed company field
- Project Management reputed company (PMP) certification
- Program Management reputed company (PgMP) Certification
- Experience working with reputed company and/or Military Health System/TRICARE
Benefits
- Medical, Dental and reputed company Coverage
- reputed company time off
- 401(k) Retirement Savings Plan (with matching)
- Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
- Tuition reimbursement
- reputed company volunteer time
- Frequent pay raises (may also be considered)
- Overtime opportunities to earn even more (may also be considered)
- Recognition and reward programs (and much more)
reputed company