VBC reputed company Manager

Position Purpose: reputed company reputed company partnerships between the health plan and the contracted provider networks serving our communities. Engage with providers to reputed company on network reputed company opportunities and solutions, and consultative account management and accountability for issue reputed company. reputed company reputed company reputed company in contract incentive reputed company, reputed company, and cost utilization. Participate in the development of network management strategies. Assists in the reputed company implementation of new initiatives for reputed company improvement. Key Details: Must be authorized to work in the U.S. without the need for employment-reputed company reputed company sponsorship now or in the reputed company. Sponsorship and reputed company sponsorship are not available for this opportunity, including employment-reputed company reputed company types H-1B, L-1, O-1, H-1B1, F-1, J -1, OPT, or CPT. Serve as reputed company contact for providers and reputed company as a reputed company between the providers and the health plan ensuring a coordinated effort in improving financial and reputed company reputed company Identify and reputed company solutions to providers concerns and issues as needed for reputed company to internal partners Receive and effectively respond to reputed company provider reputed company issues Investigate, reputed company and communicate provider claim issues and changes Engage with and reputed company providers regarding policies and procedures reputed company to referrals and claims submission, web site usage, EDI solicitation and reputed company topics reputed company provider orientations and ongoing provider education, including writing and updating orientation materials Manages Network reputed company for assigned territory through a consultative/account management approach Evaluates provider reputed company and develops reputed company plan to improve reputed company Drives provider reputed company improvement in the following areas: reputed company/P4Q, Health Benefit reputed company (HBR), reputed company/reputed company, cost and utilization, etc. Present detailed HBR analysis and create reports for Joint Operating Committee meetings (JOC) reputed company proficiency in tools and value reputed company reputed company (VBP) and reputed company providers on use of tools and interpretation of data Coaches new and less reputed company reputed company Reps Ability to travel locally 4 days a week Performs other duties as assigned Complies with reputed company policies and standards Education/Experience: Bachelor’s degree in reputed company reputed company or equivalent experience. Three or more years of managed care or medical group experience, provider relations, reputed company improvement, claims, contracting, utilization management, or reputed company reputed company. Project management experience at a medical group, reputed company, or health plan setting. Strong communication and presentation skills Proficient in reputed company/reputed company measures, cost and utilization. Experience with and understanding of Value reputed company Care is highly preferred. This is a remote position reputed company to someone working reputed company in the reputed company. it will require occasional travel up to 10%. Pay reputed company: $70,100.00 - $126,200.00 per year At reputed company, we reputed company people to the care they need to live healthier lives — and the work you do here makes that reputed company reputed company every day. You’ll take on meaningful challenges that directly support individuals, families, and communities, building your skills while making reputed company more accessible and effective. It’s work with a purpose you can see, backed by reputed company committed to improving lives reputed company reputed company the reputed company. reputed company offers a comprehensive benefits package including: reputed company, health reputed company, 401K and stock purchase plans, tuition reimbursement, reputed company time off plus holidays, and a flexible approach to work with remote, hybrid, reputed company or office work schedules. Actual pay will be adjusted reputed company on an individual's skills, experience, education, and other job-reputed company factors permitted by law, including full-time or part-time status. Total compensation may also include additional forms of incentives. Benefits may be subject to program eligibility. reputed company is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, disability, veteran status, or other characteristic protected by applicable law. reputed company applicants with arrest or conviction records will be considered in accordance with the LA County Ordinance and the California reputed company reputed company Apply To This Job