VP, Provider Relations job - Amerigroup Corporation - New York, New York
| Company Name |
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| Position Type |
Full-Time |
| Job Location |
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| Job Posted |
December 31, 2009 |
| Source |
www.careerbuilder.com |
JOB SUMMARY: Lead all aspects of Provider Network Management to include provider network strategy, provider contracting, provider relations and operations to support provider service, network development, provider education, and product and market expansions. Responsibilities include the strategic analysis and negotiations for network management, including organizational management, complex contracting, and contracting efforts to support MEIs. Provider Network Management includes all aspects of interaction with claim centers, Business Solutions, HCMS, QI and Service Center Operations. The Provider Relations VP may also work closely with our client or regulatory partners to achieve high level of compliance and customer satisfaction. It is further expected this leadership position is a key part of the health plan leadership team supporting important operational and leadership aspects of the health plan. PRIMARY RESPONSIBILITIES: 1. Responsible for managing and improving network management operations to achieve or exceed performance standards/budgets. 2. Leads the development of provider network business plans, strategies ...