Job Summary
A company is looking for a Network Strategy Manager responsible for overseeing provider network adequacy and compliance.
Key Responsibilities
- Lead the development and implementation of network adequacy strategies to meet regulatory and accreditation standards
- Monitor network performance and proactively identify areas of non-compliance
- Collaborate with cross-functional teams to address network gaps and develop corrective action plans
Required Qualifications
- Bachelor's degree in Healthcare Administration, Public Health, Business, or related field; Master's degree preferred
- 5+ years of experience in healthcare network management, provider relations, or compliance
- 5+ years' experience with data analysis and data management, claims payment, and configuration
- Advanced proficiency in MS Excel and MS Access
- In-depth experience with CMS network filings
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