Manager, Provider Data ServicesPrimary Location: Phoenix, AZ
Additional Locations: AZ-Phoenix Apply
- Accountable for team objectives including unit scorecard measures, e.g. Quality and turn around time of Provider Data Services transactions
- Selects and builds strong functional team through a formal training, diverse assignments, communication, coaching, mentoring and performance management. Accountable to hire, develop and fire staff
- Formulates and implements strategy for the unit to meet objectives and other business initiatives
- Manages and/or participates in selected projects and organizational initiatives
- Cultivates and manages relationships with various external entities, e.g. vendors, large IPA/PHO's, etc Manages day-to-day operations of all provider data services
- Reviews audit results for accuracy and provides guidance to data services staff on items with critical business implications.
- Manages audit process including error correction and rebuttal
- Partners with network management/provider relations, provider service, health delivery associates and other cross-functional areas to manage highly complex provider relationship issues of a regulatory and/or contractual nature
- Drives change through the business operation to support competitive and changing environment
- Proven ability to work collaboratively to resolve issues and demonstrates a broad, strategic approach to problem solving.
- Demonstrated knowledge of medical cost drivers and managed care industry.
- Bachelor's degree and 5 or more years of relevant experience preferred.
- Ability to effect change.
- Exercises sound judgment and demonstrates analytical/data-driven decision making skills.
- Able to assess administrative, financial and constituent impact of provider contracts.
- Understands provider contracts, contracting options, and operational issues related to provider relations.
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