The role is responsible for providing oversight and service for CCHP providers including the creation and implementation of physician, hospital, and ancillary provider orientation
Job Summary
The role is responsible for providing oversight and service for CCHP providers including the creation and implementation of physician, hospital, and ancillary provider orientation.
Incumbents must track and resolve concerns, complaints, and issues raised by network providers while ensuring results reporting.
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families through government-sponsored programs.
Matching Summary
The role is responsible for providing oversight and service for CCHP providers including the creation and implementation of physician, hospital, and ancillary provider orientation.
Skills & Requirements
Must-have
Managed care organization operational experience
Provider network management and contracting
Claims systems and problem resolution knowledge
HMO business operations understanding
Microsoft Office Suite proficiency
Nice-to-have
State regulatory agency experience
Public speaking and presentation skills
Continuous improvement mindset
Positive relationship building with providers
Key Requirements
Bachelor's degree preferred or 10 years equivalent experience
Seven years operational experience in managed care
Two to four years supervisory experience required
Medical billing and healthcare industry knowledge required