Posted in General Business 30+ days ago.
Type: Full-Time
Senior Network Manager - Full Time, Days
We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.
The Senior Network Manager will manage assigned "book of business" at a level to meet all company objectives. Duties and responsibilities will include develop and maintain relationships with assigned physicians, oversee the compliance with identified revenue driven initiatives, and identify, pursue and grow new membership and business opportunities.
The Senior Network Manager independently and under minimal direction is responsible for negotiating and securing exclusive contracts, identifying and driving business acquisition or management opportunities, identifying opportunities and driving membership growth with current physicians and recruitment of new physicians, ensuring performance results with revenue driven and company wide initiatives, proactively resolving issues, and effectively communicating directly with both the physician and the office staff.
Job Responsibilities/Duties
Minimum Education: Four (4) year college degree preferred.
Minimum Experience: Minimum of three (3) years of HMO/IPA experience in Provider Relations or Contracting. IPA operations experience strongly recommended. Previous supervisory experience preferred. Internal candidates should be cross trained in the areas of Medical Management, Claims, Customer Service, Credentialing and Provider Relations. Must be a Network Manager with Prospect and have met minimum performance requirements for advancement. Proficiency in word, excel, pivot tables. Typing 40 wpm. Excellent verbal communication skills and interpersonal skills. Able to establish rapport and interact well with individuals on all levels. Able to work with others while competing multiple tasks simultaneously and successfully. Maintain a professional image and attitude. Exceptional customer service skills. Working knowledge of IDX. Strong public speaking and presentation skills. Able to prioritize and organize multiple tasks. Ability to make decisions in the absence of detailed instructions and work independently or in a team environment. Generating strong leads for new business development opportunities including new Medicare/Medi-Medi conversions and/or IPA conversions. Must possess a valid Driver's License. Must have advanced reasoning and problem-solving abilities and planning skills. Ability to interpret a variety of instructions furnished in written, oral, diagram, and schedule form. Ability to speak, read, and writes English proficiently. Ability to write business correspondence. Ability to effectively present information and respond to questions from managers, employees, clients, customers and the general public. Demonstrate exceptional verbal/written/communication skills. Fluent in a foreign language that is applicable to any Prospect affinity network. Supervises or manages support staff as applicable. General performance benchmarks required to be considered for the Senior Network Manager position: Minimum of five (5) exclusive or semi exclusive contracts executed and/or business acquisition or viable management opportunities identified for senior management's review and consideration. Each exclusive or semi-exclusive contract must yield net membership growth of 25+ seniors. Achieve a minimum of ten (10%) percent senior membership growth in assigned network. Eighty (80%) compliance of assigned network physicians actively participating in HCC program. Note: Proven and consistent results must have been demonstrated while performing duties of the Network Manager role.
Req. Certification/Licensure: None.
Employee Value Proposition
Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:
How to Apply
To apply for this role, or search our other openings, please visit http://pmh.com/careers/ and click on a location to begin your journey to a new career with us!
We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.
EEOC is the Law: https://www1.eeoc.gov/employers/poster.cfm
Keywords: Senior Network Manager, IPA, HMO, Provider Relations, Contracting, Supervisory, IDX, Customer Service, Medical Management, Claims, Credentialing
Baker Tilly |
Ralphs
$16.98 - $20.15 per hour
|
Ralphs
$16.88 - $17.08 per hour
|
King Soopers
$23.30 - $26.45 per hour
|
Fred Meyer |
Smith's Food and Drug |