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Full job description
Manages the Magellan Provider Contract Administration functions. Ensures accurate and timely processing of all provider contracting activities in accordance with client, regulatory, and Magellan Policy and Procedures. Manages and maintains daily workflow, ensure production and quality standards are met, and ensures operational efficiencies and effectiveness. Ensures coordination between provider credentialing, contract administration and all Magellan departments, including field network with regard to interdependencies, procedure development, auditing, training and quality improvement. Provides leadership to establish a positive work environment that encourages employee participation in process improvement and commitment to department/company success
- Coordinates, establishes and maintains productivity and quality standards. Oversees network administration staff to assure production and tracking of contract and credentialing processes.
- Partners with leadership to ensure process changes are developed when necessary, training is provided, processes are implemented and results support department success.
- Manages hiring, employee turnover and training within Human Resources guidelines and requirements in a manner that results in a stable, positive and productive work environment.
- Represents Network in client meetings and committees as needed.
- Responsible for day to day network management and provider relations, including implementing processes between network management and program administration. These include credentialing/certifications, supporting provider training, identifying and gaining legal approval for contract language changes, contract signatures and execution, addition of addenda to contracts as required, interfacing with communications (provider services line, letters, website) and data management.
Other Job Requirements
Responsibilities
5+ years of progressively more responsible health care administration experience with strong preference for managed care experience.
A minimum of 1 year experience in a supervisory role.
Capable of managing a variety of complex issues while driving momentum of key projects.
Clearly and understandably articulates goals and expectations, relating them to the business mission and direction.
Ability to analyze data to model contracts and fee schedules. Database management experience.
Proficient use of Microsoft Office products.
General Job Information
Title
Manager, Network Management - (Remote in Albuquerque, NM)
Grade
26
Work Experience - Required
Network, Supervisory
Work Experience - Preferred
Education - Required
Bachelor's
Education - Preferred
Master's
License and Certifications - Required
License and Certifications - Preferred
Salary Range
Salary Minimum:
$70,715
Salary Maximum:
$113,145
This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.
This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.
Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.
Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.
