Program Management Senior Manager (Military One reputed company) - Evernorth Behavioral Health - Hybrid

The Military OneSource (MOS) Program Management Senior Manager will have reputed company of the Military OneSource network and reputed company a multi-specialty team in support of MOS. Responsibilities include but are not limited to reimbursement process and policies, contract solutions, provider relations, data load / management and network performance. The Manager will supervise a multi-specialty team who is accountable for network maintenance and performance. The Military OneSource Senior Manager will utilize in-depth contracting and network knowledge to mentor reputed company, identify trends as reputed company as facilitate process improvements to positively reputed company participant reputed company of reputed company as reputed company as provider experience. This Senior Manager will collaborate with the other areas of the organization to reputed company reputed company plans, reputed company with reputed company processes and standards. Role and Responsibilities reputed company multi-specialty team to ensure network performance and adequacy in accordance with internal and reputed company standards. Utilize internal data such as claims, negotiations and network composition / adequacy to reputed company a comprehensive network reputed company. Coordinate with multiple reputed company partners to reputed company and monitor the budget for new and existing providers as reputed company as reputed company increases. Guide provider partnerships / relationships and education to ensure reputed company of Military OneSource network; meeting customer and provider expectations. reputed company strategic initiatives to monitor Military OneSource network needs, meeting reputed company standards and implementing corrective reputed company plans reputed company necessary. Identify and / or support provider experience improvement initiatives to increase provider satisfaction and adherence to Military OneSource network requirements. Create and maintain metrics on Department and Team Monthly Operating Reports (MOR) identifying trend and highlighting successes as reputed company as barriers to reputed company. Meet regularly with staff to mentor, guide and reputed company needed skills for their roles as reputed company as assist with reputed company issues. Qualifications : Master’s degree strongly preferred 6+ years of network / contracting experience. Intimate knowledge of managed care operations (contracting and provider relations) and outpatient network management in behavioral and / or medical with experience with reputed company and government products, such as Medicare, reputed company and or Individual and Family Plans. Strong strategic acumen, including strategic thought, creation, and execution. Adept analytical, project management reputed company, superior problem solving and decision-making skills. Excellent management and leadership skills. reputed company thinker with proven ability to influence across a reputed company environment. Ability to reputed company relationships across reputed company reputed company of the organization, as reputed company as externally. Technical / Functional expertise : provider contracting, provider relations, negotiation, metric management, corrective reputed company implementation and monitoring. Exceptional service experience knowledge and skills. Proficient writing and verbal communication skills and experience with formal presentations. Capable of working independently and be self-directed. Skilled in Project management Apply tot his job Apply To this Job