Provider & Vendor Operations Manager

NETWORK HEALTH INC • Menasha, WI • 21h ago

JOB REQUIREMENTS: Network Health\'s success is rooted in its mission to create healthy and strong Wisconsin communities. Network Health is seeking a Provider & Vendor Operations Manager. This position is responsible for the overall operational relationship with providers and/or supplemental vendors. Participates in provider satisfaction efforts with Network Health through development of internal and external stakeholder relationships, provider education, supplemental vendor management, problem resolution, and collaboration with internal Network Health departments. This position will build strong relationships with provider and/or supplemental vendors, overall market knowledge, participation in Provider Satisfaction Team, developing consistent feedback methods with providers and/or supplemental vendors through face to face meetings and proxy surveys, Practice Manager meetings and other communications with providers and/or supplemental vendors. Job Responsibilities: Manages provider and/or supplemental vendor operations concerns and issues Ability to craft solutions through understanding of provider and/or supplemental vendor needs and leveraging of company resources Exceptional listening and communication skills Collaborates well with other internal departments Ability to build and maintain effective working relationships Strong organizational skills Establishes effective and efficient relationships with contracted providers and/or supplemental vendors as needed to achieve the corporate strategies and goals of health Maintains a high profile among key providers and/or supplemental vendors through regular contact and support using various effective and efficient forms of communication and account management techniques. Provides collaborative and matrix support to NH operations and participating providers and/or supplemental vendors, resolving problems and providing information pertaining to programs, protocols, policies and procedures Provides new provider orientation Develops provider payment policies Coordinates and participates in biannual practice manager meetings and specialty meetings Creates articles for monthly provider newsletter and other provider marketing material Ability to speak fluently to payment policies, programs, portal, provider page, operations Conducts proxy provider satisfaction surveys Contracts with providers and/or supplemental vendors on an as needed basis ** OTHER EXPERIENCE AND QUALIFICATIONS: Minimum of four years of experience in the health care industry (hospital, health insurance, or physician practice). Minimum of two years health services negotiation and provider/customer service experience, preferably health insurance and/or provider. Valid drivers license. Working knowledge of medical terminology, health care billing/coding, reimbursement and insurance benefit methodologies. Exceptional customer service/relationship management skills. Advanced health care financial, reimbursement and utilization data and analysis skills Microsoft Office QNXT Medicare knowledge. ** APPLICATION INSTRUCTIONS: Apply Online: https://networkhealth.com/careers

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