Senior Provider Network Manager
Maven Clinic- Full Time
- Senior (5 to 8 years)
Employment Type: Full-time
The Network Optimization Principal oversees various efforts involving highly complex data analysis and consultation projects/contracts. This role provides strategic advice and guidance to functional team(s) and requires broad, advanced technical experience.
The Network Optimization Principal oversees the strategic development and maintenance of the Michigan HIDE SNP plan provider network. This senior-level strategist is responsible for driving network optimization and value, while also ensuring compliance with network requirements in the Michigan Managed Care Contract. The Principal will:
This is a collaborative role requiring critical thinking and problem-solving skills, independence, leadership, a strategic mindset, and attention to detail. This position reports to the plan’s Chief Operations Officer.
To ensure Home or Hybrid Home/Office employees’ ability to work effectively, the self-provided internet service of Home or Hybrid Home/Office employees must meet the following criteria:
Health insurance provider for seniors and military
Humana provides health and well-being services, focusing on Medicare Advantage plans for seniors, military personnel, and communities. Their plans include HMO, PPO, and PFFS options, designed to improve health outcomes through comprehensive and flexible coverage. Humana's revenue comes from government contracts and member premiums, and they aim to maintain high renewal rates by offering quality service and competitive benefits. The company stands out by fostering a culture of inclusivity and belonging among its employees, while also ensuring accessibility for all members, including offering free language interpreter services. Humana's goal is to deliver value to its members through an extensive provider network and innovative health solutions.