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Senior Director, Provider Network Operations

Company: Cenpatico
Location: Chesterfield
Posted on: September 8, 2019

Job Description:

Senior Director, Provider Network Operations USA-Missouri-Chesterfield Position Purpose: Accountable for performance results, network optimization, member moves, network adequacy, network filings, strategic direction and development of operational deliverables in support of program requirements. Direct and coordinate activities of assigned provider network operations team who are accountable for the day to day network optimization, network adequacy, and service administration activities. Establish and implement business processes and business process improvements. Lead initiatives, represent network operations, and provide subject matter expertise on department directives. Ensure network filings are submitted accurately and timely. Ensure member moves are completed timely and effectively. Ensure contract change orders are appropriately evaluated and implemented timely Direct and ensure the effective and efficient operational management with an emphasis on execution, outcomes, continual improvement and performance enhancement. Continuously seek improvement of processes and procedures in support of financial and quality objectives Collaborate across departments/functions to ensure processes, metrics and service levels are compliant Ensure subcontractor vendor performance is monitored and evaluated for ongoing fiscal and operational compliance Responsible for fiscal management/leadership, such as budgeting, reporting and productivity. Ensure financial compliance to corporate initiatives Education/Experience: Bachelor s degree in Business Administration, Healthcare Administration, or related field. 8+ years of provider network operations experience. Previous management experience including responsibilities for hiring, training, assigning work and managing performance of staff. Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law. Network Development & Contracting Full-time

Keywords: Cenpatico, Chesterfield , Senior Director, Provider Network Operations, Executive , Chesterfield, Missouri

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