Telecommute Network Program Specialist

Job Summary

A healthcare company is seeking a Telecommute Network Program Specialist.

Candidates will be responsible for the following:

• Helping develop enterprise-wide Clinically Integrated Network teams that focus on specific clinical areas/service lines such as oncology or cardiology
• Performing network analysis and strategy development and implementation
• Driving program design and implementation to improve quality and affordability through improvements in appropriateness and effectiveness

Required Skills:

• Undergraduate degree or equivalent work experience
• 2+ years of experience with network data management in a managed care environment
• 2+ years of experience in provider data analysis
• 2+ years experience with claims processing or resolution and medical coding
• 1+ years of experience working with reporting tools and generating effective reports
• Ability to convey complex information to others and make it more easily understood