Provider Network Manager
Devoted HealthSalary not specified
- Full Time
- Junior (1 to 2 years)
Not SpecifiedCompensation
Senior (5 to 8 years)Experience Level
Full TimeJob Type
UnknownVisa
Healthcare, Managed CareIndustries
Requirements
Candidates must possess a Bachelor’s degree or 5+ years of experience in Medicaid managed care, network contracting, network/provider operations, or provider relations. They should also have 5+ years of project management experience and demonstrate expertise in driving operational efficiencies, managing timelines, and processes, ensuring on-time, on-budget, and on-target results.
Responsibilities
The Senior Project Manager will oversee the provider pillar within Medicaid market implementations, coordinating with operational functions to ensure timely delivery of the network build. They will partner with cross-functional teams to drive operational decisions, manage project plans, maintain a RAID log, convene operational partners to solve gaps, and lead provider and network implementation preparation. This role involves identifying business owners, subject matter experts, and potential gaps, participating in state meetings, supporting operational readiness, contributing to governance protocols, and planning complex network implementations utilizing matrixed teams. Additionally, they will drive process improvements, identify and solve problems, build strong internal relationships, and support contract requirements and RFP commitments.
Skills
Project Management
Provider Operations
Network Implementation
Risk Management
Operational Planning
Stakeholder Coordination
Humana
Health insurance provider for seniors and military
About Humana
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.
Louisville, KentuckyHeadquarters
1961Year Founded
IPOCompany Stage
Social Impact, HealthcareIndustries
10,001+Employees