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Manager Provider Network, Geisinger Health Plan

3 months ago

Danville, United States Geisinger Full time

**Job Summary**: Oversees the quality initiatives for the the provider network with a focus on project planning, project tracking, and reporting. Interfaces with various departments and facilitates project plans specific to enhancing the quality performance of the provider network asset. Creates and executes formal project plans, including project scope, project plan, task scheduling, team management, etc. Reports project progress, concerns and issues to project stakeholders and appropriate management personnel. Fosters quality customer service to internal and external clients and utilizes leadership skills to increase efficiency of successful.

**Job Duties**:

- Plans and facilitates regular cross-functional project team meetings, identifying key players and assigning individual responsibilities and tasks to move regulatory and key quality strategy projects forward.
- Partners with quality improvement department for ongoing coordination of process improvement activities at a level appropriate to maintain the highest-level accreditation.
- Creates project plans for provider quality interventions and engages leadership for input to execute.
- Serves as the quality representative for all quality committees and initiatives.
- Presents plans and educates the account managers on quality initiatives to execute on the road.
- Assures standards are documented, shared with appropriate staff, and assures all supporting documents needed to meet the standard are reviewed annually.
- Assists with the development and maintenance of policies, procedures, and department workflows.
- Tracks annual revisions as required by compliance.
- Analyzes complex processes around provider quality incentives, access and availability, termination and network build, clearly articulates the need for change, and gains consensus for plan of action.
- Documents analysis and input received.
- Manages staff, communicating and assigning tasks as appropriate, providing guidance as needed, performing routine and yearly performance evaluations, plus engages, develops and mentors staff.

Work is typically performed in an office environment. Travel may be required. Accountable for satisfying all job specific obligations and complying with all organization policies and procedures. The specific statements in this profile are not intended to be all-inclusive. They represent typical elements considered necessary to successfully perform the job.

**Position Details**:
Health Plan experience preferred

Team Management/Leadership experience

**Education**: Bachelor's Degree
- (required)

**Experience**: Minimum of 7 years-Related work experience (required)

**Certification(s) and License(s)**:
OUR PURPOSE & VALUES: Everything we do is about caring for our patients, our members, our students, our Geisinger family and our communities. KINDNESS: We strive to treat everyone as we would hope to be treated ourselves. EXCELLENCE: We treasure colleagues who humbly strive for excellence. LEARNING: We share our knowledge with the best and brightest to better prepare the caregivers for tomorrow. INNOVATION: We constantly seek new and better ways to care for our patients, our members, our community, and the nation. SAFETY: We provide a safe environment for our patients and members and the Geisinger family We offer healthcare benefits for full time and part time positions from day one, including vision, dental and domestic partners. Perhaps just as important, from senior management on down, we encourage an atmosphere of collaboration, cooperation and collegiality. We know that a diverse workforce with unique experiences and backgrounds makes our team stronger. Our patients, members and community come from a wide variety of backgrounds, and it takes a diverse workforce to make better health easier for all. We are proud to be an affirmative action, equal opportunity employer and all qualified applicants will receive consideration for employment regardless to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or status as a protected veteran.