Senior Network Management Consultant - 25-169 jobs in United States
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Hill Physicians Medical Group · 3 weeks ago

Senior Network Management Consultant - 25-169

Hill Physicians Medical Group is shaping the healthcare of the future through actively managed care. The Senior Network Management Consultant will support leadership in recruitment, reimbursement, and strategic development of the provider network, while leading projects to improve operational processes and network strategies.

Health CareMedicalProfessional Services

Responsibilities

Leads cross-functional projects to advance Hill Physicians’ provider network strategy and improve operational processes
Uses data to drive decision-making on network priorities and the progress of strategic initiatives. Presents to department and Hill Physicians leadership on findings and recommendations
Partners with internal department leaders to plan and coordinate network outreach for maximum impact
Facilitates medical leadership functions such as Specialty Management Team meetings. In partnership with physician Chair, drives committee action items such as analyses, communications, etc
Identifies network needs to meet members’ access needs; recruits and helps evaluate providers to join Hill Physicians network
Supports Practice Support Advisors to best communicate Hill Physicians’ value, resources, and support to the network
Acts as liaison between physician leadership and PriMed / Hill management and staff
Presents, verbally and in writing, analysis, and recommendations to internal and external audiences
Participates in a variety of cross-functional teams to support organization initiatives related to development and maintenance of the physician network
Manages simple to complex projects regarding compensation, clinical or utilization management, etc
Organizes internal and external meetings for department members
Performs other duties as required

Qualification

Managed care experienceData analysis skillsProject management skillsProvider relationsProvider contractingMedical network developmentSoftwareCommunication skillsAttention to detail

Required

Masters' degree desired or equivalent work experience in a managed care, clinical practice and/or healthcare environment. BA/BS required
Three to five years of related experience
Demonstrated ability to work independently and manage ambiguity
Strong data analysis skills and thorough attention to detail required
Demonstrated project management skills. Ability to prioritize multiple projects and tasks. Must be able to contribute to cross-functional work groups both as leader and participant
Strong written and verbal communication skills
Familiarity with routine applications software and Internet resources (including Word, Excel, and PowerPoint)
Ability to travel to and participate in business meetings outside of normal business hours
Valid Driver's License and proof of auto insurance

Preferred

Previous managed care experience in areas of provider relations, provider contracting, and/or medical network development preferred

Company

Hill Physicians Medical Group

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Hill Physicians Medical Group is an independent physician association that focuses on providing innovative and quality healthcare.

Funding

Current Stage
Late Stage

Leadership Team

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David Joyner
Chief Executive Officer
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Company data provided by crunchbase