Responsible to lead provider network relations, operational support and analyst teams in strategizing, defining and delivering comprehensive new system enhancements, processes, and training to maintain and grow VSP's Provider Network.
Direct the Provider Network teams responsible for the implementation and operational management of provider data and relationships
Communicate strategic goals and the impact the teams' efforts have in achieving the division and organizational goals
Participate in the development of key division initiatives; lead and manage the implementation of assigned corporate strategies and follow up on operational performance, training and metrics for Provider Network to ensure operational stability
Accountable for the development of a system/dashboard to monitor data integrity within the Network Development team, including quality and provider relations team metrics
Direct the team to achieve and maintain service goals; work closely with SBUs, payment and product integration, and regulatory compliance
Partner with Legal on developing and reviewing vendor contracts, unique practice ownership scenarios and provider escalations
Responsible for the deployment and delivery of insurance and regulatory training content for providers and their staff
Responsible for provider networks, including maintaining appropriate access, developing and maintaining compliance with network standards
Accountable for business area impact assessments, business analysis and implementation of corporate and divisional projects, ensuring operational readiness
Partner with division leadership, business partners, to recommend solutions or enhancements to the provider network
Monitor performance of direct reports; provide prompt and objective coaching and counseling; conduct performance reviews; recommend salary increases
Participate in the hiring and interviewing process for open positions, ensuring that the most qualified candidates are selected
Assure effective communications are maintained. Inform employees as to plans and progress; conduct employee discussion sessions at regular intervals
Responsible for the department budget; monitor expenses to ensure costs are within established levels
Job Specifications
Typically has the following skills or abilities:
Bachelor's Degree in Business, Communications, Health Care or related field, or equivalent experience
Minimum of 3 years of Management, Supervisory, or Leadership experience
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 is 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
Working Conditions
The working environment is generally favorable. Lighting and temperature are adequate, and there are no hazardous or unpleasant conditions caused by noise, dust, etc.
The above information on this description has been designed to indicate the general nature and level of work performed by employees within this classification. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of employees assigned to this job.
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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 and commissions. For more information regarding VSP Vision benefits, please click here.
Salary Ranges: $73,500.00 - $131,250.00