CareMore Health · 18 hours ago
Network Support Manager
Nevada, United States
Full-time
Onsite
Mid Level
$81K/yr - $122K/yr
3+ years expCareMore Health is focused on optimizing provider networks for access, quality, compliance, and performance. The Network Support Manager is responsible for operational execution, network issue resolution, and provider engagement to align with value-based performance goals.
Health CareMedicalPersonal HealthService Industry
Responsibilities
May oversee the day to day training, guidance and management of department activities and facilitates resolution of problems and issues
Analyzes and coordinates strategies, policies and programs to ensure accurate administration of facility provider contracts across multiple lines of business and multiple platforms
Creates tools to assist contract implementation and administration
Interfaces with providers on contractual obligations, education, and provider operations manual updates
Coordinates and acts as a business partner on projects that ensures accurate facility and provider reimbursement policy and procedures, such as pricing, POC, OHAS HMO AND OHAS II, complaints and appeals etc
Qualification
Required
Requires a BA/BS degree
Minimum of 3 years' experience in the health care industry with background in provider relations, facility contracts and reimbursement; or any combination of education and experience, which would provide an equivalent background
Preferred
MBA, MHA or related graduate degree strongly preferred
Company
CareMore Health
CareMore Health provides healthcare delivery system.
1001-5000 employees
Funding
Current Stage
Late StageLeadership Team
Paul Mikulecky, MD, MBA, CPE
VP & Chief Medical Officer
Lauren F Burns
Clinical Education Partner
Recent News
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