Provider Network Optimization Lead

VirtualVocations
Jackson Heights, New York, United States
Full-time

A company is looking for a Provider Network Optimization Lead responsible for driving network optimization and compliance in Medicaid managed care.

Key ResponsibilitiesContribute to strategy for the Medicaid provider network, including contracting and value-based care modelsAnalyze internal and external data to monitor network adequacy and inform contracting opportunitiesLead network governance meetings to ensure compliance and address operational issuesRequired QualificationsBachelor's Degree in Healthcare, Analytics, Finance, or a related field8 or more years of experience in Healthcare Analytics, Contracts, or related areasAdvanced experience in leading special projects and producing metrics and reportsProficiency in Microsoft Office applications including Microsoft ProjectWillingness to manage and prioritize diverse projects

10 days ago
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