Centivo
health benefits • health insurance • value-based care • healthcare • healthcare provider networks
201 - 500
Director of Network Operations
October 31
Centivo
health benefits • health insurance • value-based care • healthcare • healthcare provider networks
201 - 500
Description
Responsible for establishing and overseeing network operations. Manage and monitor claims pricing inventory. Collaborate with teams to determine workflows and define reporting requirements. Leading complex network-related projects and ensuring compliance with healthcare regulations. Research and resolve contract discrepancies and updates. Manage and implement fee schedules.
Requirements
10 years experience in Healthcare Network Operations Familiarity with CPT coding, drug pricing schedules, DME, and clinical lab fee schedules. Experience in collaborating with product, benefits, and claims departments. Strong interpersonal and communication skills for working across departments and with external partners. Proficiency in network analytics and reporting tools. Excellent problem-solving skills and attention to detail. Ability to work independently and as part of a team. Adaptability and willingness to learn new technologies and methodologies. Prioritize and organize own work to meet deadlines
Benefits
Offers Equity Offers Bonus
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