Program Manager, Consultant, Network Transitions

Your Role

The Network Operations team is responsible for working with cross-functional teams to shape and execute the strategic vision for Network Management ensuring financial stewardship, driving transformative initiatives to optimize network performance, enhance provider and member experience and strengthen governance across multiple lines of business. The Program Manager, Consultant, Network Transitions will report to the Senior Manager, Network Operations. In this role you will be responsible for working with interdepartmental teams to monitor and track operational activities related to contract terminations within the provider network, consulting with all levels of management, to ensure the organization is prepared, compliant and maintains optimal member experience. In addition, the Program Manager, Consultant will work with the Sr. Manager, Network Operations, on various projects to support the Network Operations overall strategy and objectives.

Our leadership model is about developing great leaders at all levels and creating opportunities for our people to grow - personally, professionally, and financially. We are looking for leaders that are energized by creative and critical thinking, building and sustaining high-performing teams, getting results the right way, and fostering continuous learning.

Your Knowledge and Experience

• Bachelor's degree in business administration, Healthcare Administration, or a related field is required
• Minimum of seven years of relevant experience in managed care operations, provider relations or provider contracting
• Previous experience in healthcare program or project management
• Technically proficient in Microsoft Office suite (including Word, Excel and PowerPoint) with ability to compile presentations for leadership and data sets
• Must be a critical thinker, detail-oriented, exhibit exceptional communication skills in writing and in-person while also having the ability to track performance and deliverables understanding
• Comprehensive knowledge of managed care risk contracts and the operational requirements involved in managing a provider network
• Proven capability to manage and prioritize multiple tasks and objectives simultaneously
• Skilled in handling highly confidential information and serving as a liaison between business leaders and various internal and external stakeholders.
• Demonstrated ability to build enduring, trustworthy relationships and effectively interact across all organizational levels, both internally and externally
• Able to collaborate and work strategically in a team setting with various professional, technical, and administrative staff, integrating resources in a timely and organized manner