Job Summary

A managed healthcare company has a current position open for a Remote Network Program Manager.

Must be able to:

• Be responsible for the successful program design, compliance with network requirements, network assessment and selection, and program/product implementation
• Perform network analysis
• Work on strategy development and implementation

Applicants must meet the following qualifications:

• Undergraduate degree
• 10 years experience working with a managed care organization, health insurer, or consultant in a network management/contract management role, such as contracting, provider services, etc
• Five years experience in data analysis
• Two years project management or project lead experience
• Two years experience working with claims systems
• Three years experience with facility/ancillary contact loading and auditing including contract submission, validation and maintenance