Community Programs Manager

Job Summary

A company is looking for a Community Programs Manager to oversee provider network operations in Reno, NV and surrounding areas.

Key Responsibilities

• Participate in developing business strategy and direct cross-functional teams for Clinically Integrated Networks
• Oversee network analysis, strategy development, and implementation to enhance quality and affordability
• Drive program design and ensure data analysis for network availability and access

Required Qualifications

• 10+ years of experience with managed care organizations or health insurers, or in a network/contract management role
• 5+ years of experience in data analysis
• 3+ years of experience with facility/ancillary contact loading and auditing
• 2+ years of project management or project lead experience
• Expertise in physician/facility/ancillary contract reimbursement methodologies