Job Description

Responsibilities

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Responsible for managing the day-to-day activities of the DC Medicaid Plan 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 Plan. 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 and potential new counties to meet ...

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