Las Vegas, NV30+ days ago
li>Ensure operational effectiveness by assisting in the development of strategic plans for provider contracts, network adequacy, and network performance, including business, financial, and operational goals and objectives; recognize and manage scope and expected outcomes across the Market to HPLCs strategic initiatives and process improvements. Work closely with member experience/engagement workgroups and business areas to gather/attain data (to include but not limited to access related grievances and complaints, member calls, out of network claims data), conduct analysis and trends to develop remediation and corrective action plans.