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Healthcare Provider Network Lead
3 weeks ago
As a senior network operations manager, you will oversee the management of healthcare provider networks, ensuring seamless operations and delivering exceptional customer service.
Responsibilities:- Develop and implement medical provider solutions to meet business needs.
- Lead a team to manage all operational and administrative aspects of group health and retail health vendors and service providers.
- Monitor performance and report on specialists' performance and utilization patterns using data-driven insights.
- Conduct due diligence assessments on vendors and service providers in accordance with local regulatory and company guidelines.
- Manage claims handling teams and improve processes and systems.
- Experience in managing healthcare provider networks or similar field.
- Strong leadership and team management skills.
- Ability to conduct system reviews and UATs.
- Customer-focused and result-oriented.
- Agile problem-solving and risk awareness.
- Good interpersonal and communication skills.
- Open-minded and willing to adapt.
- Degree in a relevant field such as healthcare or business administration.
- Relevant experience in medical or provider network management (5-10 years).
- Proficient in Microsoft Office applications.
- Executive.
- Full-time.
- Information Technology.
- Insurance.
