Network Management Consultant

• Establishing and managing strong, solid relationships with assigned provider groups and their staff (e.g. physicians, practice managers, care coordination teams), as well as executing with provider group on initiatives that benefit the customer, provider, and health plan
• Educating providers on the performance requirements associated with value-based contracts
• Conducting regular provider visits to educate providers and office staff on topics including, but not limited to: preventative and quality outcome metrics, risk adjustment, medical cost management, etc
• Understanding, developing, tracking, monitoring and reporting on key program performance metrics, such as utilization, coding, and Stars/quality performance

• Bachelor Degree and at least one year experience OR 5 years managed care operations experience handling independent work
• Meet deadlines and work well under pressure
• Verbal and written communication skills, organizational and planning skills
• PC proficiency to include Microsoft Office
• Analytical skills
• Ability and willingness to travel within assigned territory, including overnight stays

Bachelor Degree in Business

• curated development plans that foster growth and promote rewarding, fulfilling careers
• investment in your professional development