Job Details

Manages account manager staff and is responsible for the overall success of the markets network of contracted provider groups Analyze provider group pool performance to determine areas of focus or improvement opportunities, to include performing complex analysis of financial statements and other metric-related report to forecast and plan resource and business plan requirements Develops strategies and create action plans that align provider pools and groups with company initiatives, goals (revenue and expense) and quality outcomes Drive processes and improvement initiatives that directly impact revenue, HEDIS/ STAR measures and quality metrics, coding and documentation process and educational improvements Use and analyze data to identify trends, patterns and opportunities for the business and clients, and collaborating and/or participating in discussions with colleagues and business partners to identify potential root cause of issues Assists assigned account managers and acts as lead wi...Client Service, Director, Account Manager, Associate, Medical Director, Operations, Retail, Healthcare