Physician Network Manager

We are a fast-growing health care company with Medicare Advantage health plans in multiple states.  We have plans to grow through acquisitions and new startup operations in additional markets over the next few years.  This growth and added complexity of our operation is requiring a significant investment in human resources as well and as a result we have a new opening for a Physician Network Manager.

Summary

Coordinate all activities of assigned Local Physician Organizations (LPO) including tday-to-day monitoring of UM activities, financial reporting, contractive of provider and ancillary services, regulatory compliance and the overall management of the LPO to strategic goals.

 

Responsibilities and Duties

Responsible for coordinating the development of professional, effective relationships within area hospitals, physicians, and ancillary providers.
Responsible for the development and maintenance of educational materials and programs including provider manual, provider meetings and communications, and LPO Board or other meetings as determined by the market needs.
Assist in the development of the most appropriate network strategies including selection of quality, cost effective providers.
Plan, develop and manage LPO budgets including appropriate variance analysis.

 

Minimum Qualifications

College degree in Business Administration, a related field or applicable experience in a managed care organization.
Two years progressively responsible experience in Provider Relations or a related field.
Strong analytical and interpersonal skills.

 

Please apply online at https://www.adpselect.com/apps/jobfit.jsp?cst=1295042.  You can cut and paste this link into your browser. 

No phone calls, email or faxes accepted.  Only individuals who apply online at  https://www.adpselect.com/apps/jobfit.jsp?cst=1295042 will be considered candidates.