Job description
Manage credentialing, operational compliance, and provider contracting staff and activities. Work closely with management on executing department strategies and meeting division/corporate goals.
Provide leadership and coaching to the Provider Network Development team; communicate VSP's strategic goals and the impact the teams’ efforts have in achieving the division and organizational goals
Participate in the development of key division initiatives and strategies; lead, support, and implement assigned operational plan objectives
Partner with Legal on developing and reviewing provider and vendor contracts
Lead provider compliance and accreditation efforts, and work cross-functionally to identify, review and implement new regulations, processes, policies, and procedures
Directs the team to achieve and maintain service goals; works closely with Legal, business partners, and Regulatory Compliance to ensure network meets organizational needs
Responsible for provider networks, including operational regulatory compliance, timely and accurate contract management, timely credentialing of providers, and all related credentialing policies and procedures
Partner with division leadership, business partners, and professional representatives to recommend solutions or enhancements to the provider network
Job Specifications
Typically has the following skills or abilities:
Bachelor’s degree in related field or equivalent experience
Minimum of 3 years of management experience with responsibilities for hiring, training, assigning work, and managing performance of direct reports
Minimum of eight years experience in the health care industry or equivalent
Demonstrated ability to resolve complex issues
Demonstrated ability to learn, interpret and apply information in contractual documents, policies, and procedures
Excellent leadership skills, communication skills, and interpersonal skills
Ability to travel as needed
Manage multiple complex division projects where independent action, high degree of initiative, and coordination across departments are required
Strong interpersonal skills and organizational skills
Strong written and oral communication skills
Ability to effectively communicate information to a wide variety of technical and non-technical individuals or groups
Regularly exercises discretion and independent judgment in the performance of his/her job duties
#LI-REMOTE
#LI-VENTURES
Compensation range for the role is listed below. Applicable salary ranges may differ across markets.
Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses, equity and commissions. For more information regarding VSP Vision benefits, please
click here
.
Salary Range:
70000
VSP Vision is an equal opportunity employer and gives consideration for employment to qualified applicants without regard to age, gender, race, color, religion, sex, national origin, gender identity, sexual orientation, disability or protected veteran status. We maintain a drug-free workplace and perform pre-employment substance abuse testing.
As a regular part of doing business, VSP Vision (“VSP”) collects many different types of personal information, including protected health information, about our audiences, including members, doctors, clients, brokers, business partners, and employees. VSP Vision employees will have access to this sensitive personal information and are subject to follow Information Security and Privacy Policies.
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