Jobs · Engineering

Senior Network Program Specialist - Remote

TalentHop · United States · 1 wk ago
RemoteRemoteEngineering$60k–$107k/yrFull-time
This is a Fully Remote Job About Our Client:The organization operates globally in the healthcare sector, focusing on improving health outcomes by connecting people with care, pharmacy benefits, data, and resources. It addresses challenges in healthcare delivery through technology and responsible AI, aiming to enhance health optimization on a large scale. About the Opportunity:The SENIOR NETWORK PROGRAM SPECIALIST supports the Veterans Affairs Community Care Network (VA CCN) across 36 states. This role is responsible for assisting providers in navigating program requirements and maintaining contracts within the network. It plays a key role in fostering provider relationships, resolving program issues, and implementing strategies to improve quality, care efficiency, and administrative performance. Responsibilities:Communicate effectively to build and maintain provider relationshipsOversee activities that support positive physician relationships using data-driven approachesCollaborate with providers to resolve issues related to contracting, credentialing, demographics, authorizations, education, and invoicingImplement strategies to influence providers toward measurable improvements in quality and efficiencyConduct required provider education and trainingSupport the development and implementation of new operational processes for the programContribute to a compassionate, supportive, inclusive, and goal-driven team environment Requirements:Minimum 2 years of experience in managed care, including claims, advocacy, or provider data reviewMinimum 2 years of experience presenting educational materialsAbility to work independently and collaborativelyAbility to multitask and prioritize assignments Preferred Qualifications:Experience with government engagement and military programsMilitary backgroundExperience in network management or provider advocacyAdvanced skills in Excel and Microsoft applications Pay Range and Compensation Package:Salary range from $60,200 to $107,400 annually based on full-time employment Benefits & Perks:Comprehensive benefits package including 401(k) contributionsIncentive and recognition programsEquity stock purchase opportunities Equal Opportunity Statement: Our client is an equal opportunity employer. They celebrate diversity and are committed to creating an inclusive environment for all employees. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, gender identity or expression, sexual orientation, or national origin. Note:TalentHop is a recruitment partner of this role. Please note that all employment decisions, including candidate assessment, interviews, hiring, compensation, and employment terms, are made exclusively by the hiring employer.

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