Manager Network Operations - Provider Relations / Network Mgmt / Healthcare Delivery

Hcsc Brentwood , TN 37024

Posted 5 months ago

Job ID: EMO-1031443 Description:

Located in any of the following HCSC offices - Austin, Corpus Christi, Houston, Richardson or San Antonio this position is responsible for managing staff responsible for contracting providers using standard provider contracts. Provider outreach and communication related to standard network contracting. Assigns responsibilities to team members. Training, counseling, developing and monitoring an effective communication/training program to keep network staff apprised of new/additional servicing responsibilities. This includes provider contracting, outreach, and other supervisory responsibilities and regulatory bodies for development of goals and implementation of initiatives and special projects. Develop and maintain processes and ensure team meets/exceeds goals. Work across the company in resolution of issues and represent company to external entities.

Job Responsibilities:
Develop and execute provider standard contracting, including outreach and reporting activities around provider demographic activities, regulatory requirements and network builds.

Required Job Qualifications:

  • Bachelor Degree in Health Care, Accounting or Business Administration OR 9 years of health care administration or managed care experience including 5 years network management experience.

  • 3 years supervisory or management experience.

  • Knowledge of health care, database systems and network management contracting operations.

  • Critical thinking, creativity, innovative and analytical skills and knowledge of management reporting.

  • Experience meeting deadlines, handling multiple priorities in a dynamic fast paced environment and working well under pressure.

  • Clear and concise verbal and written communications skills including interpersonal and presentation skills.

  • Planning and project management skills.

  • Proficiency in PC including Word, Excel and PowerPoint.

  • Ability and willingness to travel, including overnight stays.

Preferred Job Qualifications:

  • Experience developing desk level procedures.

  • Experience implementing new systems and tools used by Network Management.

  • Experience working to create processes across departments.

  • Experience managing production staff to achieve goals.

This role must be on-site in one of the following HCSC offices: Austin, Corpus Christi, Houston, Richardson or San Antonio

HCSC is committed to diversity in the workplace and to providing equal opportunity and affirmative action to employees and applicants. We are an Equal Opportunity Employment / Affirmative Action employer dedicated to workforce diversity and a drug-free and smoke-free workplace. Drug screening and background investigation are required, as allowed by law. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status.

Expertise Network Management / Provider Relations Job Type Full-Time Regular Location TN - Brentwood, TX - Richardson, TX - Corpus Christi, TX - Austin, TX - San Antonio, TX - Houston

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Manager Network Operations - Provider Relations / Network Mgmt / Healthcare Delivery