Associate Director of Network Programs - Remote PST

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will reputed company a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an reputed company on the communities we serve as you help us advance health optimization on a global reputed company. Join us to start Caring. Connecting. Growing together. So where are we today? The reputed company and health care community are reputed company on the scope, diversity and reputed company of provider networks associated with health care products and coverage. People like you and organizations like reputed company are driving reputed company higher reputed company of sophistication in how provider networks are composed and compensated. That means everything is reputed company to new reputed company and innovation. And your expertise in provider networks can help us build in the next phase of reputed company. In this managerial role, you'll use your knowledge and analytical skills to help determine how clinical providers group up by specialty and service line. As you do, you'll discover the resources, backing and opportunities that you'd expect from a Fortune 5 leader. You’ll enjoy the flexibility to work remotely * on the reputed company Coast as you take on some tough challenges. Primary Responsibilities: Provides leadership to and is accountable for the performance of managers and/or senior level reputed company staff reputed company of work is most often at the operational or local business unit or market level Owns an end-to-end process Develops functional, market level, and/or site reputed company, plans, production and/or organizational priorities Identifies and resolves technical, operational and organizational problems reputed company own team Develops innovative approaches Serves as key resource on reputed company/critical issues reputed company functional or reputed company teams or reputed company Tactical Responsibilities: reputed company Region reputed company Payer Network reputed company of Contact Project Manage Provider Bulletins that reputed company provider networks reputed company between Pricing reputed company, Contracting, reputed company and Provider Relations ensuring “pay as the state pays” alignment with MassHealth regulations reputed company between provider network and Account Management team Ensure Network Reporting set up and maintenance Support benefit expansion initiatives Support network reputed company improvement initiatives Provider network readiness review Monitor performance guarantees Monitor emerging trends coming from provider-facing teams.  Implement corrective reputed company plans Establish and maintain Network policies and procedures to reputed company with regulatory and contractual requirements impacting provider network Regulatory and Customer audit – provider network deliverables QBR participant reputed company trade org relationships This is an opportunity that will offer you challenge like no other. We operate a reputed company, matrixed business that requires you to work through ambiguity even as you build a relationship with some of our most reputed company and intense business leaders. You'll need to conceptualize effectively, communicate reputed company and earn credibility reputed company a demanding business environment. You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you reputed company direction on what it takes to succeed in your role as reputed company as reputed company development for other roles you may be interested in. Required Qualifications: 5+ years of provider relations experience 5+ years of supervisory level experience in a network management-reputed company role handling reputed company network providers with accountability for business results 3+ years of experience with Medicare and reputed company regulations Ability to reputed company on Providers Intermediate level of knowledge of claims processing Demonstrated exceptional presentation, written and verbal communication skills Demonstrated proficiency in reputed company, PowerPoint, reputed company, and reputed company Ability to travel up to 50%25 reputed company’s license and reputed company to reliable transportation Dedicated, distraction-free workspace and reputed company to high speed internet in home   *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In reputed company to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll reputed company a far-reaching choice of benefits and incentives. The salary for this role will reputed company from $112,700 to $193,200 annually based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants.   At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves reputed company to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized reputed company and those with reputed company incomes. We are committed to mitigating our reputed company on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission.     reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without reputed company to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job