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Network Manager in Orange at Prospect Medical Systems

Date Posted: 10/20/2018

Job Snapshot

  • Employee Type:
    Full-Time
  • Location:
    600 City Parkway West
    Orange
  • Job Type:
  • Experience:
    Not Specified
  • Date Posted:
    10/20/2018
  • Job ID:
    10297

Job Description



Network Manager

We are hospitals and affiliated medical groups, working closely together for the benefit of every person who comes to us for care. We build comprehensive networks of quality healthcare services that are designed to offer our patients highly coordinated, personalized care and help them live healthier lives. Through collaboration, we strive to provide all of our patients and medical group members with the quality, affordable healthcare they need and deserve.

The Network manager will manage assigned territory at  a level  to meet  company objectives. Duties and responsibilities will include develop and maintain relationships with assigned physicians, oversee the compliance with identified revenue driven initiatives, and identify, pursue and grow new membership and business opportunities  .   



Job Responsibilities/Duties

  • Conduct routine visits to all providers as outlined in department policies to ensure performance compliance with revenue driven initiatives and focus on goals
  • Identify opportunities to achieve membership growth by developing and capitalizing on relationships with physicians and pursuing business opportunities to support companywide revenue goals
  • Maintain positive business relationships to ensure retention of existing providers, therefore, decreasing the potential membership loss due to provider terminations 
  • Oversee the compliance and participation of network physicians to ensure providers are responding timely and accurately to global requests made by any and all departments within our organization
  • Comply with production reporting requirements as stated in Department Policies and Procedures by required time frame.
  • Work well and develop relationships with Provider Relations Support Staff and other departments to effectively resolve issues that require root cause resolution from individuals within Prospect Medical. Supervise, train and mentor new Network Managers to meet department and company objectives


Qualifications

Minimum Education: High School graduate or equivalent. Four (4) year college degree preferred.

Minimum Experience: Minimum of three (3) years of HMO/IPA experience in Provider Contracting.  Previous supervisory experience preferred.

Req. Certification/Licensure: None.



Employee Value Proposition

Prospect Medical Holdings, Inc., is guided by a diverse and highly experienced leadership core. This group maintains the vision that has made Prospect a needed difference-maker in the lives of so many patients today, and many executives contribute to our continued efforts. As a member of our highly effective team of professionals you will receive:

  • Company 401K
  • Medical, dental, vision insurance
  • Paid time-off
  • Life insurance


How to Apply

To apply for this role, or search our other openings, please visit https://prospectmedicalsystems.com/about-us/careers/ and click on a location to begin your journey to a new career with us!

We are an Equal Opportunity/ Affirmative Action Employer and do not discriminate against applicants due to veteran status, disability, race, gender, gender identity, sexual orientation or other protected characteristics. If you need special accommodation for the application process, please contact Human Resources.

EEOC is the Law:  https://www1.eeoc.gov/employers/poster.cfm



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