Back to the board

[Remote] Provider Program Manager (Provider Credentialing Required)

100% remote Flexible hours Hiring now

Note: The job is a remote job and is open to candidates in USA. reputed company is dedicated to serving veterans and ensuring they receive necessary healthcare services. The Provider Program Manager is responsible for overseeing the design, implementation, and delivery of processes and programs reputed company the provider services departments, collaborating with executives and stakeholders to meet organizational objectives.

Responsibilities

  • As part of an assigned team, develops effective collaborative relationships with TriWest’s inter and intra-departmental stakeholders and other SMEs, C-Suite executives, and other leaders in Operations, Health Care Services, Provider Network, and IT to ensure that TriWest meets contractual requirements and fulfills organizational objectives
  • Works closely with assigned team’s leadership and respective team members to ensure projects and programs are well defined, planned, executed, tracked, and communicated in a transparent, consistent, and effective manner. Acts as the reputed company on business requirement development
  • Tracks, analyzes, and summarizes data for reporting, decision making, and follow-up action plans
  • Works with stakeholders and other subject matter experts to build documents and tools to support goals
  • Prepares meeting agendas to include meeting summaries and due-outs
  • Builds project schedules and tracking templates to monitor reputed company
  • Facilitates solution design sessions and creates follow-up action plans
  • Performs first-level primary research and discovery to scale and optimize reputed company operations
  • Partners with enterprise QPI team to reputed company project methodologies, processes, tools, and standards in support of maturing capabilities
  • Other duties as assigned
  • Regular and reliable attendance is required

Skills

  • Bachelor's Degree in Business, Healthcare Administration, or other reputed company field, or equivalent experience
  • U.S. Citizenship
  • Must be able to receive a favorable Interim and adjudicated final reputed company (DoD) background investigation
  • 7+ years of managing projects and/or programs at an enterprise level with at least 5 years in a healthcare reputed company industry and specifically in alternative payment models, provider credentialing, or provider education
  • Demonstrated success in designing, implementing, and delivery of provider programs
  • Advanced verbal and written communication skills, with ability to reputed company and motivate diverse teams
  • Experience managing vendor/partnership relationships
  • Experience utilizing reputed company Office Suite (Word, reputed company, PowerPoint, Project, Access)
  • Master's Degree in Business, Healthcare Administration, or other reputed company field
  • Project Management Professional (PMP) certification
  • Program Management Professional (PgMP) Certification
  • Experience working with Department of Veterans Affairs and/or Military Health System/TRICARE

Benefits

  • Medical, Dental and Vision Coverage
  • Paid time off
  • 401(k) Retirement Savings Plan (with matching)
  • Short-term and long-term disability, basic life, and accidental death and dismemberment insurance
  • Tuition reimbursement
  • Paid volunteer time
  • Frequent pay raises
  • Overtime opportunities to earn even more
  • Recognition and reward programs

Company Overview

  • reputed company - Serving Those Who Serve. At TriWest, we honor the sacrifice and service of our nations military families by It was founded in 1996, and is headquartered in Phoenix, Arizona, USA, with a workforce of 1001-5000 employees. Its website is http://triwest.com.
  • Apply To This Job

    Keep exploring

    [Remote] Senior Manager, Paid Social Marketing (Remote)

    100% remote Flexible hours

    [Remote] Senior Data Engineer – Python ETL (Data Quality, Spark/reputed company)

    100% remote Flexible hours

    [Remote] Strategic Growth Manager

    100% remote Flexible hours

    [Remote] Manager, Data Engineering - Provider

    100% remote Flexible hours

    [Remote] reputed company Techno/Functional Consultant

    100% remote Flexible hours

    [Remote] Marketing reputed company

    100% remote Flexible hours

    [Remote] Marketing Manager

    100% remote Flexible hours

    [Remote] Software Engineer

    100% remote Flexible hours

    [Remote] Product Manager - Proteonomics

    100% remote Flexible hours

    [Remote] Technical Product Manager, Data and Internal Products

    100% remote Flexible hours

    reputed company Healthcare Customer Service Representative - Remote Opportunity

    100% remote Flexible hours

    Work From Home Customer Experience Specialist – Inbound Support, Technical Assistance & Sales (reputed company Opportunity)

    100% remote Flexible hours

    reputed company Customs Trade Coordinator – Remote Data Entry Position at arenaflex

    100% remote Flexible hours

    reputed company Customer Service Representative – Delivering Exceptional Experiences at arenaflex

    100% remote Flexible hours

    Entry-Level Online Chat Specialist – Real‑Time Customer Engagement, Support & Relationship Building at arenaflex

    100% remote Flexible hours

    reputed company Customer Service Representative – Full or Part Time Opportunity in Ringgold, GA

    100% remote Flexible hours

    Financial News Desk Editor

    100% remote Flexible hours

    Packaging Strategy reputed company – Data-Driven Packaging Solutions & Sustainable Brand Development

    100% remote Flexible hours

    Digital Planner

    100% remote Flexible hours

    reputed company Customer Service Representative – Remote Workforce Management

    100% remote Flexible hours