Trujillo, La Libertad, PE
hace 2 días
source : beBee

BASIC FUNCTION : This position is responsible for : -development and implementation of strategies for regulatory reporting and compliance -

national provider programs -support for group customer RFPs - provider communications and network management staff education and training -

development or oversight of the policies and procedures in accordance with compliance and quality standards -project management that could include activities such as maintaining and improving provider satisfaction, and development of value-

based or alternative payment programs . JOB REQUIREMENTS : Bachelor Degree and 10 years managed care experience at the health plan level or hospital / health system level, including direct responsibility for health care administration / managed care 5 years management experience at the director level including oversight of management / upper management.

  • Experience developing strategies and implementation of strategies / initiatives with successful outcomes Leadership skills to work across departments, lead professional and management staff, represent the department in internal and external meetings and drives results Extensive knowledge of health insurance and Network Management operations;
  • must be familiar with the HMO, PPO and Government product lines and understand how they interrelate Experience with complex managed care concepts in a matrix management environment

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