Provider Operations Manager - Remote

QTC Management, Inc.•Albuquerque, NV

1d•Remote

About The Position

Leidos QTC Health Services is seeking a Provider Operations Manager on our Provider Employee team. The Provider Operations Manager is responsible for team performance, in regard to provider operations, retention, and satisfaction. This position manages processes and procedures to ensure timely and quality completion of provider acquisition, works internally and cross-functionally to drive improvement for all phases of the provider life cycle, with emphasis on the provider identification, negotiation, management, and credentialing phases.

Requirements

Bachelor’s degree from an accredited college preferably in a healthcare or business-related field or equivalent experience/combined education
Minimum 7 years of leadership experience in the areas of Healthcare Management, management consulting, and managing provider networks
Must be able to successfully pass National Agency Check with Inquiries (NACI) background investigation

Nice To Haves

3-5 years direct hands-on experience in a clinical setting

Responsibilities

Oversee Regional Managers and strategic sourcing team to ensure the effectiveness of network for all programs.
Responsible for specific team performance in order to achieve operational goals in regards to provider training, retention and satisfaction
Arrange contract management and credentialing services with healthcare provider networks
Direct training of team members on workflows and contractual modifications in an efficient and timely manner
Conduct research to identify providers within designated markets
Create, maintain, and carry out schedules that ensure deadlines are reached
Partner with liaison management and support teams to identify provider problems and complaints to develop and implement action plans in order to enhance provider support and experience efficiency
Responsible for the daily operational workflow, including communication with internal and external partners, resolution of customer issues, and identifying workflow concerns for specific cases and employees
Use provider systems to manage and produce reports and analyses
Negotiate and reviewing contract requirements with providers interested in partnership through communication QTC’s core values
Manage processes focused on exceptional customer service, effective provider utilization, and immediate resolution of provider issues
Ensure utilization of best practice workflows to ensure operational excellence and seek improvements in order to automate recurring processes
Responsible for monthly and quarterly operational analysis and reporting