Network & Data Manager

Location
Alexandria, Minnesota
Salary
DOE
Posted
Sep 22, 2020
Industry
Technology
Role
Manager
Job Type
Long-Term
Hours
Full Time

This position is responsible to recruit, retain, maintain, and monitor the PrimeWest Health provider network to ensure regulatory requirements are met and to ensure adequate access to all services for PrimeWest Health members. This position facilitates positive and professional contractual relationships between network providers and PrimeWest Health through effective contract execution, communication, and problem resolution. The Network & Data Manager performs necessary gaps analysis of the provider network including summary reports and geographic mapping.

This position performs data analysis that can be used for determining trends, incentive opportunities, and accuracy, as well as for preparation for contract negotiations. Through the contracting process, the Network & Data Manager is responsible for the preparation, maintenance, and execution of provider contracts and facilitates activities associated with contracting with the PrimeWest Health network. The Network & Data Manager oversees all regulatory requirements related to network adequacy including the process of conducting organizational assessments of providers, and must maintain up-to-date knowledge of the contracting process and regulatory and contractual requirements. This position requires a high degree of initiative, independent thinking, and decision-making.

Educational Requirements and Required Qualifications
At minimum, a Bachelor’s degree or 2-4 years of related work experience and/or training, or equivalent combination of education and experience to the position requirements
Strong contract interpretation skills
Demonstrated knowledge of, and proficiency in, Word, Excel, and Outlook required
Flexibility and ability to handle multiple tasks. Demonstrated organizational skills and attention to detail. Ability to work effectively with a variety of people both within and outside of the organization. Excellent verbal and written communication skills.
Ability to sit at a desk or computer station most of the time. Ability to occasionally lift and/or carry such articles as file folders and small boxes up to 25 pounds.
Some travel required

PrimeWest Health will accept resumes for this position through October 1, 2020 or until the position is filled. No phone inquiries please. Employment to begin as soon as possible.

Select one of the three options below:
Qualified candidates should submit their resume and cover letter to:

Attn: Stacey Guggisberg
Director of Provider Network Administration
3905 Dakota St
Alexandria, MN 56308

or

Click "apply"  to emaile your resume 
Please include “Network & Data Manager” in the subject line.
 

EOE