Job SummaryCollaborate 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.
QualificationsRequired
- 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 LocationSITE - Priority Health - 1239 E Beltline Ave NE - Grand Rapids
Department NameProvider Network - PH Managed Benefits
Employment TypeFull time
ShiftDay (United States of America)
Weekly Scheduled Hours40
Hours of Work8 a.m. to 5 p.m.
Days WorkedMonday to Friday
Weekend FrequencyN/A
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