SCAN · 2 days ago
Network Management Operations Director (Remote, CA)
Long Beach, CA
Full-time
Remote
Director/Executive
$125K/yr - $201K/yr
7+ years exp
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Responsibilities
Work with key leaders throughout the company to develop network management structure, processes, and systems that enable operational scalability, organizational growth and optimal performance outcomes.
Drive and manage implementations and ongoing operations of network management strategies. Including but not limited to: Developing intra- and inter-department cross-functional processes and improvements. Designing and documenting workflows. Creating templates, presentations and communications needed to enable operational efficiencies,
Driving execution of new processes to team members and relevant departments. Partnering with Network Administration team to enable training of team members and stakeholders on new processes and systems. Identifying any areas of inefficiencies that impact a provider (eg credentialing, directory display, onboarding, claims, auths, reporting, communications), identifying solutions and partnering with relevant stakeholders for improvements.
Utilizing technologies and data algorithms to enable operational efficiencies. Lead business subject matter expert and/or project management of new network vendor implementations and tools such as CRM, Support implementation of regulatory compliance requirements impacting Network Management Operations.
Key leader in supporting large cross-functional programs and being the established business owner to streamline and prioritize based on network needs. Creating reporting to track progress on strategic initiatives. Coordinating and owning relationships with internal and external partners to ensure SCAN operates at a level of excellence to be viewed as a provider’s Medicare Advantage payer of choice.
Prepare detailed implementation plans inclusive of success metrics and criteria for deciding whether to replicate a strategy. Develop and maintain scalable playbooks for repeatable strategies. Assess key aspects of the company’s operations regarding progress towards quarterly and yearly objectives.
Facilitate progress towards key objectives and assist in diagnosing and solving tactical problems that limit goal achievement. Prepare and review analytics to provide visibility to network operational strategies. Provide insightful, data-driven recommendations to optimize decision making. Monitor external communications and information resources for emerging trends and industry developments that inform adjustments to current network operational strategies.
All other duties as assigned.
Qualification
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Required
7+ years of related experience relevant to SCAN’s products, programs, services and/or business operations.
5+ years of leadership experience.
Excellent project management skills with experience in expediting large, complex and/or long-term projects.
Excellent problem-solving skills with the ability to find creative solutions for issues where the answers are not clear.
Ability to collect large magnitude of business subject matter knowledge and connect dots across the organization.
Strong analytical skills with the ability to use statistical tools and interpret and apply the results.
Highly developed quantitative, oral, written and interpersonal communications skills with the ability to effectively convey information in a clear and concise manner.
Strong platform and presentation skills.
Proactive and independent thinker.
Strong multi-tasking and organizational skills with minimal supervision.
Team-player, innovative, problem solver, detail oriented.
Ability to execute work under pressure and tight deadlines.
Preferred
Experience in the Health Care industry is strongly preferred.
Benefits
An annual employee bonus program
Robust Wellness Program
Generous paid-time-off (PTO)
11 paid holidays per year, plus 1 additional floating holiday
Excellent 401(k) Retirement Saving Plan with employer match
Robust employee recognition program
Tuition reimbursement
Company
SCAN
About SCAN Keeping Seniors Healthy and Independent–that’s been our mission for more than 40 years.
1,001-5,000 employees
H1B Sponsorship
SCAN has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (5)
2022 (5)
2021 (4)
2020 (8)
Funding
Current Stage
Late StageLeadership Team
Lyn Amor Macaraeg
CVP Chief of Staff & Strategic Advisor to the CEO
Sachin H. Jain, MD, MBA
President and CEO, Board Director
Recent News
2024-11-24
2022-12-16
Company data provided by crunchbase
