The role is responsible for providing oversight and service for CCHP providers including the creation and implementation of physician, hospital, and ancillary provider orientation and training
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 and training.
Incumbents must track and resolve concerns, complaints, and issues raised by network providers while ensuring they are knowledgeable regarding CCHP operations and programs.
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families through government-sponsored programs like CHIP and STAR.
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 and training.
Skills & Requirements
Must-have
Managed care organization operational experience
Provider network management and contracting
Claims systems and problem resolution knowledge
Medical billing and healthcare industry knowledge
Microsoft Office Suite proficiency
Nice-to-have
State regulatory agency experience
Public speaking and presentation skills
Continuous improvement mindset
Strong verbal and written communication
Independent work capability
Key Requirements
Bachelor's degree preferred or 10 years equivalent experience
Seven years operational experience in managed care
Two to four years supervisory experience
Experience with state regulatory agencies preferred