Bachelor's Degree in contracting, finance, health administration, public health, or related field
10 years of relevant healthcare experience in Michigan
Master's Degree in public health, health administration, analytics, or related field preferred
Responsibilities
Collaborate with cross-functional teams to support provider network strategy
Lead initiatives that align with department goals and produce strategic presentations
Recommend solutions based on business problems and project constraints
Coordinate related projects to ensure timely and efficient completion
Ensure quality of deliverables across projects
Benefits
Full-time employment with a standard Monday to Friday schedule
Day shift hours from 8 a.m. to 5 p.m.
Opportunity to work in a collaborative environment
Engagement in initiatives that enhance operational efficiency and member satisfaction
Full Job Description
Job Summary
Collaborate with cross-functional teams and stakeholders across the organization to support provider network strategy, network adequacy analysis, and project management initiatives. This role will utilize Quest Data Analytics and provider transparency data to evaluate network performance, identify provider access opportunities, and support network expansion efforts in Michigan, Indiana, and Wisconsin. Partner with leadership on initiatives that improve operational efficiency, drive cost-saving opportunities, ensure regulatory compliance, and enhance provider and member satisfaction.
Essential Functions
Participates in developing and implementing Priority Health’s philosophy, mission, goals, and objectives that align with the strategic work plan for Provider Network.
Organizes, coordinates and leads key initiatives that support the goals established by department leadership. This includes producing key decision point documents and strategic presentations.
Recommends solution to business owner based on business problem and requirements. Solution considers project constraints of time and resources and may thus propose both short and long term options.
Coordinates a group of related projects with the goal of completing projects on time and efficiently through the balancing of resources across the department and organization.
Responsible for quality of deliverables.
Qualifications
Required
Bachelor's Degree or equivalent in contracting, finance, health administration, public health or other related field
10 years of relevant experience within the healthcare industry in Michigan
Preferred
Master's Degree or equivalent In public health, health administration, analytics, statistics, informatics, biostatistics, economics, math, engineering, or other related field
Primary Location
SITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department Name
Provider Network - PH Managed Benefits
Employment Type
Full time
Shift
Day (United States of America)
Weekly Scheduled Hours
40
Hours of Work
8 a.m. to 5 p.m.
Days Worked
Monday to Friday
Weekend Frequency
N/A
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