Network Relations Manager

Location
Virginia Beach, VA
Posted
Sep 05, 2018
Closes
Sep 28, 2018
Industry
Healthcare
Hours
Full Time
Job Description: Responsible for the development and design of the provider network through contract negotiations and relationship development. Assists in the preparation of financial projections and strategic planning. Responsible for managing the financial and operational performance of the provider network and compliance with contractual terms. Education Level
Bachelor's Level Degree

Experience
Required: Healthcare Management - 5 years, Managed Care - 5 years

Skills
Required: Microsoft Office

Other
Keyword: managed care, network management, Medicaid, Medicare, government programs

Optima Health is hiring a Network Relations Manager in Virginia Beach, VA.

Hours/Shift:

Monday - Friday, 8am-5pm

Department/Position Overview:

We are seeking an experienced project manager and leader to serve as a Government Programs focused Network Relations Manager for oversight of our Network Managements contractual obligations for all government contracts. Superior written and oral communication skills will be key in this role which requires extensive involvement in : contracts review, provider requirements, manuals, publishing content, compliance, corrective action, communications and more in conjunction with our obligations with DMAS (Department of Medical Assistance Services) and all objectives in accordance to the department goals and obligations for service. Government programs, Medicaid, Medicare and/ or CCC+ experience is highly desired. Both a written sample and oral presentation may be required.

Division Highlights:

Optima Health offers a full suite of commercial health insurance products including employee-owned and employer-sponsored plans, as well as Individual and Family health plans, employee assistance plans and plans serving Medicare and Medicaid enrollees. We offer programs to support members with chronic illnesses, customized wellness programs, and integrated clinical and behavioral health services.

As a nationally recognized provider of health plan coverage and innovative wellness programs, we live our mission “to improve health everyday.” This same commitment and dedication directs our philosophy as an employer. When you join Optima Health, you will experience our deep passion for heal and service excellence while benefiting from a culture of opportunity, learning, career growth, and support -every day. Optima Health is a service of Sentara Healthcare, so joining Optima is joining the Sentara Healthcare family.


Sentara Benefits:

Sentara employees strive to make our communities healthier places to live. We're setting the standard for medical excellence within a vibrant, creative, and highly productive workplace. For more information about our employee benefits, CLICK HERE!

Join our team, where we are committed to quality healthcare, improving health every day, and provide the opportunity for training, development, growth!

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