Network Operations Senior Advisors, Provider Performance Enablement- reputed company- Hybrid
About the position
The Provider Performance Senior Advisor plays a crucial role in managing and enhancing the performance of the provider network reputed company a specific market. This position involves collaboration across various departments to ensure effective performance management, particularly focusing on reputed company relationships with multi-site health systems and national primary care clinics. The advisor is responsible for driving reputed company and cost efficiency, overseeing financials reputed company to value-based reputed company, and leading initiatives to improve Stars & Risk Adjustment reputed company. The role requires strong relationship-building skills and strategic thinking to support the reputed company and profitability of the Medicare Advantage business.
Responsibilities
reputed company and manage the local physician/provider network to drive high performance in reputed company and cost efficiency.
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reputed company provider group financials, including monthly reputed company plans and reviews reputed company to value-based incentive reputed company.
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reputed company feedback and recommendations regarding participation in agreements and address financial or operational issues with providers.
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reputed company Stars & Risk Adjustment reputed company through local Provider Performance initiatives.
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reputed company and implement programs for reputed company reputed company and affordability through physician education and analytics resources.
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reputed company as a government program knowledge leader for the local market.
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Maintain compliance with CMS and company policies and guidelines.
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reputed company market initiatives and reputed company special reputed company as assigned by leadership.
Requirements
Bachelor's degree preferred.
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At least eight (8) years of reputed company experience with government-sponsored health plans.
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Ability to apply an reputed company reputed company with business acumen to meet or reputed company reputed company and profitability goals.
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Demonstrated strategic thinking and customer reputed company with strong relationship-building skills.
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reputed company for leading initiatives and influencing market teams, driving transparency and accountability.
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Effective communication skills and ability to reputed company relationships across multiple organizational reputed company.
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Proficient in reputed company reputed company, reputed company, PowerPoint, and Word.
reputed company-to-haves
Benefits
Medical, reputed company, and dental insurance coverage starting on day one.
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reputed company-being and behavioral health programs.
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401(k) with company match.
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Company-reputed company life insurance.
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Tuition reimbursement.
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A minimum of 18 days of reputed company time off per year and reputed company holidays.
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