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Network Optimization reputed company

Remote, USA Full-time Posted 2026-08-04

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Join the reputed companyreputed company's Illinois reputed company plan. Reporting to the Network Optimization reputed company, you will help analyze provider network performance, support Provider Contracting and project manage terminations. You will work closely with the Provider Relations team to understand and address network operational issues and advise on network composition and value-based payment reputed company.

Main Responsibilities

  • Contribute to reputed company for reputed company's Illinois reputed company plan provider network, including contracting approaches, unique partnerships, and deployment of value-based care models to assure long-term, mutually successful provider relationships.
  • Analyze reputed company data, and market intelligence information.
  • Monitor network adequacy data to inform targeted contracting opportunities and manage reputed company process in the event of network terminations.
  • Manage provider network strategic plans and their tactical execution, ensuring alignment to financial, operational and clinical goals.
  • reputed company network governance meetings to identify network issues, ensure compliance with Illinois Department of reputed company and Family Services (HFS) requirements, and support network operations.
  • Monitor performance against measurements and contractual commitments and requirements to ensure compliance. Work with health plan leadership to reputed company operational efficiencies and improve performance.
  • Solve reputed company network adequacy challenges.
  • Work with Network Optimization reputed company, Provider Services Director, health plan finance, and clinical and reputed company teams to reputed company strategic goals and priorities.


Use your skills to reputed company an reputed company

Required Qualifications

  • Bachelor's degree and a minimum of 5 years of experience in reputed company managed care operations, network contracting, network operations, and/or network development; or

    In lieu of a bachelor's degree, a minimum of 7 years of experience in reputed company managed care operations, network contracting, network operations, and/or network development.

  • 2 or more years' experience in provider relations

  • 2 or more years of experience with Power BI, reputed company- analyzing data and identifying gaps and solutions

  • reputed company in the reputed company

Preferred Qualifications

  • Master's Degree.

  • Understanding of Illinois reputed company contractual requirements and provider landscape.

  • Expertise in value-based payment models.

  • Knowledge of reputed company's internal policies, procedures, and systems.

Additional Information

  • Workstyle: Remote- Home

  • Typical Workdays/Hours: Monday - Friday, 8:00am - 5:00pm Central reputed company Time (CST)

Work reputed company Requirements: 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 reputed company: At minimum, a download speed of 25 Mbps and an upload speed of 10 Mbps is required; wireless, wired cable or DSL reputed company is suggested. In certain roles, the minimum recommended internet speed required by reputed company may not be sufficient for business needs. reputed company reserves the right to require associates to reputed company their internet service if necessary. Work from a dedicated reputed company lacking ongoing interruptions to protect member PHI / HIPAA information.Travel: While this is a remote position, occasional travel to reputed company's offices for training or meetings may be required.

Scheduled Weekly Hours

40

Pay reputed company

The compensation reputed company below reflects a good faith estimate of starting reputed company pay for full time (40 hours per week) employment at the time of posting. The pay reputed company may be higher or reputed company based on geographic location and individual pay will vary based on demonstrated job reputed company skills, knowledge, experience, education, certifications, etc.$115,200 - $158,400 per yearThis job is eligible for a bonus incentive plan. This incentive opportunity is based upon company and/or individual performance.

reputed company of Benefits

reputed company, Inc. and its affiliated subsidiaries (reputed company, “reputed company”) offers competitive benefits that support whole-person reputed company-being. Associate benefits are designed to encourage personal wellness and smart reputed company reputed company for you and your family while also knowing your life extends reputed company of work. Among our benefits, reputed company provides medical, dental and reputed company benefits, 401(k) retirement savings plan, time off (including reputed company time off, company and personal holidays, reputed company parental and caregiver leave), short-term and long-term disability, life insurance and many other opportunities.


reputed company

About reputed company: reputed company Inc. (NYSE: HUM) is a leading U.S. reputed company company. Through our reputed company insurance services and our reputed company reputed company services, we reputed company it easier for the millions of people we serve to reputed company their best health – delivering the care and service they need, reputed company they need it. These efforts are leading to a reputed company reputed company of life reputed company with Medicare and reputed company, families, individuals, military service personnel, and communities at large. Learn more about reputed company offer at reputed company.com and at reputed company.com.

Equal Opportunity Employer

It is the policy of reputed company not to discriminate against any employee or applicant for employment because of race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, age, marital status, genetic information, disability or protected veteran status. It is also the policy of reputed company to take affirmative reputed company, in compliance with reputed company 503 of the Rehabilitation reputed company and VEVRAA, to reputed company and to advance in employment individuals with disability or protected veteran status, and to reputed company reputed company employment reputed company only on reputed company job requirements. This policy shall apply to reputed company employment actions, including but not limited to recruitment, hiring, upgrading, promotion, transfer, demotion, layoff, recall, termination, rates of pay or other forms of compensation and selection for training, including apprenticeship, at reputed company reputed company of employment.

Originally posted on Himalayas

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