Provider Operations Manager
QTC Management, Inc.
full-time
Posted on:
Location Type: Remote
Location: New Mexico • United States
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Salary
💰 $99,705 - $134,895 per year
About the role
- Oversee Regional Managers and strategic sourcing team to ensure the effectiveness of network for all programs.
- Responsible for specific team performance in order to achieve operational goals in regards to provider training, retention and satisfaction.
- Arrange contract management and credentialing services with healthcare provider networks.
- Direct training of team members on workflows and contractual modifications in an efficient and timely manner.
- Conduct research to identify providers within designated markets.
- Create, maintain, and carry out schedules that ensure deadlines are reached.
- Partner with liaison management and support teams to identify provider problems and complaints to develop and implement action plans in order to enhance provider support and experience efficiency.
- Responsible for the daily operational workflow, including communication with internal and external partners, resolution of customer issues, and identifying workflow concerns for specific cases and employees.
- Use provider systems to manage and produce reports and analyses.
- Negotiate and reviewing contract requirements with providers interested in partnership through communication QTC’s core values.
- Manage processes focused on exceptional customer service, effective provider utilization, and immediate resolution of provider issues.
- Ensure utilization of best practice workflows to ensure operational excellence and seek improvements in order to automate recurring processes.
- Responsible for monthly and quarterly operational analysis and reporting.
Requirements
- Bachelor’s degree from an accredited college preferably in a healthcare or business-related field or equivalent experience/combined education
- Minimum 7 years of leadership experience in the areas of Healthcare Management, management consulting, and managing provider networks
- Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation
Benefits
- Health and Wellness programs
- Income Protection
- Paid Leave
- Retirement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
contract managementcredentialing servicesoperational analysisreportingprovider systemsworkflow managementdata analysisnegotiationcustomer serviceprocess automation
Soft Skills
leadershipcommunicationproblem-solvingteam managementorganizational skillsstrategic thinkinginterpersonal skillstime managementconflict resolutioncollaboration
Certifications
Bachelor’s degreeNational Agency Check with Inquiries (NACI)