Manages the provider network administration function of an organization. Collects and analyzes data on program utilization, claims, and costs. Reviews existing and future reimbursement policies, regulations, and guidelines. Develops and deploys cost-effective programs that provide effective services, control costs, and align with organizational objectives and competitive position. Tracks, measures, and reports on cost-controlling activities resulting from program initiatives. Requires a bachelor's degree. Typically reports to a director. Manages subordinate staff in the day-to-day performance ...of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Typically requires 5 years experience in the related area as an individual contributor. 1-3 years supervisory experience may be required. Extensive knowledge of the function and department processes.More Show Less
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