Manager, Provider Operations

Join our dynamic team at VillageCare as a Full Time Manager for Provider Operations where you can showcase your expertise in network management data within the health plan industry. This remote position offers flexibility, allowing you to excel in a comfortable work from home environment. With an attractive salary range of $108,000-115,000 per year, this role presents an exciting opportunity for experienced professionals looking to take the next step in their career. You will receive great benefits such as a generous PTO package, 10 Paid Holidays, Personal and Sick time, Medical/Dental/Vision, HRA/FSA, Education Reimbursement, Retirement Savings 403(b), Life & Disability, Commuter Benefits, Paid Family Leave, and Additional Employee Discounts. Apply now to be part of our innovative company based in New York, NY.

VillageCare: What drives us

VillageCare is a community-based, not-for-profit organization serving people with chronic care needs, as well as seniors and individuals in need of continuing care and managed care services. Our mission is to promote healing, better health and well-being to the fullest extent possible. Our care is offered through a comprehensive array of community and residential programs, as well as managed care. VillageCare has delivered quality health care services to individuals residing within New York City for over 45 years.

Are you excited about this DATA MANAGER job?

You will play a crucial role in overseeing and managing the Data Maintenance Team's performance. You will be responsible for coordinating all aspects of critical provider information across various databases and systems, ensuring data synchronization and enforcement of business rules. Collaborating with different departments, you will ensure compliance with customer requirements related to contracting, network management, and credentialing.

Your expertise will drive the development, implementation, and maintenance of provider data systems, supporting effective network operations. You will also lead special projects, review contracts, update provider records, and work closely with Provider Network Operations staff on data-related strategies. This role offers a unique opportunity to be at the forefront of ensuring data integrity and regulatory compliance within a forward-thinking healthcare organization.

What We're Looking For In a Manager, Provider Operations

Candidates must possess a minimum of 10 years' progressive experience in Managed Care, particularly in Medicare and Medicaid, collaborating closely with provider network teams. Additionally, a minimum of 3 years' experience in team management is required for this role. Proficiency in software applications such as FACETS (XC reports/provider error queues), Sales Force, and SQL is essential, along with a strong command of MS applications including Word, Excel, Access, and Outlook. Successful candidates will demonstrate a deep understanding of data maintenance within a healthcare setting, exceptional problem-solving skills, and the ability to communicate effectively with various stakeholders. A track record of ensuring data accuracy, regulatory compliance, and driving process improvements will be key to thriving in this challenging yet rewarding position at our innovative New York-based company.

Connect with our team today!

If you think this role will suit your needs, great! Applying is a piece of cake. Good luck - we're excited to meet you!

VillageCare is an Equal Opportunity Employer.

Salary: $108000 - $115000 per year

Job Posted by ApplicantPro