Job Description
**Responsibilities:**
Responsible for managing the day-to-day activities of the DC Medicaid and Healthy DC Plans Network Management department and staff. Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it relates to the DC Medicaid and Healthy DC Plans. Ensures that the department and staff remain current in all aspects of Federal and State rules, regulations, policies and procedures and creates or modifies departmental policies to reflect changes. Ensures department achieves annual goals and objectives.
**Contracting**
+ Responsible for hospital and physician network development and management.
+ Develops and recommends policy changes related to provider recruitment and contracting.
+ Recruits and negotiates contracts with specific providers within operational...
Responsible for managing the day-to-day activities of the DC Medicaid and Healthy DC Plans Network Management department and staff. Responsible for assisting the Leader with departmental activities related to provider satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as it relates to the DC Medicaid and Healthy DC Plans. Ensures that the department and staff remain current in all aspects of Federal and State rules, regulations, policies and procedures and creates or modifies departmental policies to reflect changes. Ensures department achieves annual goals and objectives.
**Contracting**
+ Responsible for hospital and physician network development and management.
+ Develops and recommends policy changes related to provider recruitment and contracting.
+ Recruits and negotiates contracts with specific providers within operational...
Apply for this Position
Ready to join AmeriHealth Caritas? Click the button below to submit your application.
Submit Application