Director of Provider Network Administration

Job Summary

A company is looking for a Director of Provider Network Administration (HP Operations).

Key Responsibilities

• Oversees daily operations of Provider Network Administration units to ensure compliance with standards
• Establishes and maintains standard operating policies and procedures for PNA functions
• Collaborates with various departments on provider data and claims payment issues

Required Qualifications

• Bachelor's degree (or equivalent experience)
• Minimum of 7 years of healthcare management experience
• Previous experience in health plan provider network administration
• Master's degree in a related field is preferred
• Experience with Provider Data Management and Claims Configuration is preferred