Network Provider Manager - Mosaic Health : Job Details

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Network Support Manager: will own Senior POD and Hospital relationships, financial performance and analytics, and overall network development strategy for the community. The Network Provider Manager is accountable for overall contracted network performance including: overseeing management projects, financial performance and POD/Hospital relationship management. Coordinates work flow and tactical implementation of various activities related to maintaining facility, provider network and contracting initiatives. Participates in projects designed to improve all levels of network performance, which may include multiple lines of business. 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. This is a remote position but candidates must be located in Southern California - LA, Orange, San Bernadino area. 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. MBA, MHA or related graduate degree strongly preferred.

Seniority level

• Seniority levelMid-Senior level

Employment type

• Employment typeFull-time

Job function

• Job functionInformation Technology
• IndustriesHospitals and Health Care

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