Washington, DC30+ days ago
Minimum of 5 years of experiencein the managed care/health insurance industry with demonstrated strengths in knowledge of Plan policies and procedures related to provider contracting, provider credentialing, provider billing and payment, provider incentive programs, and other essential State and Federal regulatory requirements related to providers, claim adjudication systems, provider file database requirements and relevant software applications; working independently and managing complex projects and programs both as an independent owner and team leader, training and mentoring skills, interacting at an executive level internally and externally. This role is responsible for developing the strategic direction and management of theday-to-daynetwork management activities for all provider types, including single or multiple practices in single or multiple locations, integrated delivery systems, or other provider organizations.