National Provider Services Manager

Job Summary

A company is looking for a National Provider Services Manager (Remote).

Key Responsibilities

• Develops and implements network planning tools and standards for provider services and contracting strategies
• Collaborates with health plan leadership to support provider services functions and strategic initiatives
• Ensures compliance with network-related standards and facilitates positive relationships between contracted providers and health plans

Required Qualifications

• At least 6 years of provider services experience with Medicaid, Medicare, or Marketplace products
• Strong understanding of the healthcare delivery system and managed care compensation methodologies
• Experience with community agencies and providers
• Project management experience in a cross-functional organization
• Proficiency in Microsoft Office suite and applicable software programs