Operations Group

1 month ago

Juneau, United States TalentBurst Full time

Network Management Specialist 3-6 Months Standard Hours: Monday through Friday Roughly 8a-5p - Must have some flexibility to work in different time zones 100 percent remote

Top 3 Must-Haves (Hard Skills) Nice-To-Haves (Hard Skills) Customer service experience Sales experience Intermediate knowledge of Microsoft Office Suite, specifically Excel. Strong presentations skills using PowerPoint. Minimum Knowledge of National Committee for Quality Assurance (NCQA) requirements. Provider recruitment and contracting experience Military experience/ Background *Must be a United States Citizen *Bilingual in Spanish and English

Must-Haves (Soft Skills) Nice-To-Haves (Soft Skills) Verbal skills Independent worker Certification Requirements Bachelor’s degree preferred.

Job Description: Assesses network needs, analyzes network composition, and using organization databases, application of regulatory requirements, accreditation entities and other resources, recruits individual, group and/or organizational providers to meet network adequacy standards and assure quality network. Conducts and coordinates contracting and amendment initiatives. Provides issue resolution and complex trouble shooting for providers. Conducts provider education and provider relation activities, providing necessary written materials. Conducts administrative provider site visits and coordinates report development and completion according to contractual requirements or ad hoc requests. Coordinates Public Policy Research Center (PPRC) activities to assure maintenance of current credentialing status, and evaluation and appropriate actions of quality of care issues and complaints against providers. Conducts and manages ongoing audits of provider compliance with Magellan policies and procedures as well as contractual obligations for multiple customers. Develops work plans to address audit requirements. Works with management to draft, clarify and recommend changes to policies which impact network management.

RESPONSIBILITIES: Knowledge of National Committee for Quality Assurance (NCQA) requirements. Ability to work independently and prioritize activities. Intermediate knowledge of Microsoft Office Suite, specifically Excel. Strong presentations skills using PowerPoint. Minimum of 1 year experience in related position/field. Previous experience in a network development, provider recruitment or provider contracting.

WORK EXPERIENCE: Network 1+ years EDUCATION: Bachelors (Preferred)

#TB_HC %26047630% %%techhelp%%

  • Machine Operator

    2 weeks ago

    Juneau, United States QPS Employment Group Full time

    Position Title: Machine Operator – 2nd Shift Wage: $20.25 - $21.55/hour + $1.00/hour Shift Premium Shift: 2nd Hours: 3:00pm – 1:30am Do you thrive in a fast-paced environment?! Join this company located in Juneau, WI that's looking to add to their growing company! They offer many great benefits including an ESOP, employee appreciation events, and a...

  • Packaging Operator

    2 weeks ago

    Juneau, United States Alaskan Brewing Company Full time

    Job DescriptionJob DescriptionHours: Full time, 40 hrs/wk, swing shift work, currently working 4-10 shifts, and some overtime required.Starting Wage: $20/hourBenefits: Medical, Dental, Vision, 401(k), Paid Time Off, Employee Stock Ownership, Life Insurance, AD&D, Short & Long Term Disability Insurance, Identity Theft Protection, Employee Assistance, Group...

  • Packaging Operator

    1 week ago

    Juneau, United States Alaskan Brewing Company Full time

    Job DescriptionJob DescriptionHours: Full time, 40 hrs/wk, swing shift work, currently working 4-10 shifts, and some overtime required.Starting Wage: $20/hourBenefits: Medical, Dental, Vision, 401(k), Paid Time Off, Employee Stock Ownership, Life Insurance, AD&D, Short & Long Term Disability Insurance, Identity Theft Protection, Employee Assistance, Group...

  • Sales Manager 3, National Group Sales

    4 weeks ago

    Juneau, United States Marriott Full time

    Additional Information Pacific or Mountain Time ZoneRemote Based Position Job Number 23219864 Job Category Sales & Marketing Location Sales Support East, 7750 Wisconsin Avenue, Bethesda, Maryland, United States Schedule Full-Time Located Remotely? Y Relocation? N Position Type Management JOB SUMMARY The Sales Manager National Group Sales (NGS), Continent...

  • Secon | Operator

    2 weeks ago

    Juneau, Alaska, United States Colas Full time

    Subsidiary: Colaska Inc.Secon is one of the companies within Colaska Inc., the Colas USA subsidiary that operates throughout the state of Alaska. Secon is based in Juneau, where the company provides construction materials commercially, with satellite offices in Sitka and Ketchikan. Secon constructs project large and small; be it highways, airports, rural...

  • Secon | Operator

    1 week ago

    Juneau, Alaska, United States Colas Full time

    Subsidiary: Colaska Inc.Secon is one of the companies within Colaska Inc., the Colas USA subsidiary that operates throughout the state of Alaska. Secon is based in Juneau, where the company provides construction materials commercially, with satellite offices in Sitka and Ketchikan. Secon constructs project large and small; be it highways, airports, rural...

  • Business Operations Manager, XRT

    2 weeks ago

    Juneau, United States META Full time

    Meta Business Operations Manager, XRT Juneau , Alaska Apply Now You will help build a deep understanding of XR Tech's product and business using internal and external insights; work with cross-functional partners (product, data science, user research, TPM, PMM) to help support XRT’s strategic priorities, outline data-driven strategic decisions, and frame...

  • Business Operations Manager, XRT

    3 weeks ago

    Juneau, United States META Full time

    Meta Business Operations Manager, XRT Juneau , Alaska Apply Now You will help build a deep understanding of XR Tech's product and business using internal and external insights; work with cross-functional partners (product, data science, user research, TPM, PMM) to help support XRT’s strategic priorities, outline data-driven strategic decisions, and frame...

  • Business Operations Manager, XRT

    1 week ago

    Juneau, United States META Full time

    Meta Business Operations Manager, XRT Juneau , Alaska Apply Now You will help build a deep understanding of XR Tech's product and business using internal and external insights; work with cross-functional partners (product, data science, user research, TPM, PMM) to help support XRT’s strategic priorities, outline data-driven strategic decisions, and frame...

  • Operations and Logistics Coordinator

    4 weeks ago

    Juneau, United States Armed Services YMCA Full time

    Job Title: Operations and Logistics Coordinator FLSA Status: Non-Exempt Status: Part Time, Permanent 20-30 Hour/Week Reports to: Program Coordinator PAY: $15.95 Per Hour POSITION SUMMARY: This position supports the work of the Armed Services YMCA, a leading nonprofit committed to strengthening the military community through youth development, healthy living...

  • Operations and Logistics Coordinator

    1 week ago

    Juneau, United States Armed Services YMCA Full time

    Job Title: Operations and Logistics Coordinator FLSA Status: Non-Exempt Status: Part Time, Permanent 20-30 Hour/Week Reports to: Program Coordinator PAY: $15.95 Per Hour POSITION SUMMARY: This position supports the work of the Armed Services YMCA, a leading nonprofit committed to strengthening the military community through youth development, healthy living...

  • Car Detailer

    2 weeks ago

    Juneau, United States Kendall Automotive Group Full time

    Kendall Auto Group is one of the largest family owned and operated dealers in the Alaska and premier employer in Juneau. We are looking for a Detailer to join our team. We are looking for candidates who are self-motivated, willing to learn, and have good time management. This is not an entry level position, pay for this position will be hourly plus...

  • Car Detailer

    3 weeks ago

    Juneau, United States Kendall Automotive Group Full time

    Kendall Auto Group is one of the largest family owned and operated dealers in the Alaska and premier employer in Juneau. We are looking for a Detailer to join our team. We are looking for candidates who are self-motivated, willing to learn, and have good time management. This is not an entry level position, pay for this position will be hourly plus...

  • Car Detailer

    1 week ago

    Juneau, United States Kendall Automotive Group Full time

    Kendall Auto Group is one of the largest family owned and operated dealers in the Alaska and premier employer in Juneau. We are looking for a Detailer to join our team. We are looking for candidates who are self-motivated, willing to learn, and have good time management. This is not an entry level position, pay for this position will be hourly plus...

  • Secon | Operator with CDL

    3 weeks ago

    Juneau, Alaska, United States Colas Full time

    Subsidiary: Colaska Inc.Secon is one of the companies within Colaska Inc., the Colas USA subsidiary that operates throughout the state of Alaska. Secon is based in Juneau, where the company provides construction materials commercially, with satellite offices in Sitka and Ketchikan. Secon constructs project large and small; be it highways, airports, rural...

  • Secon | Operator with CDL

    1 week ago

    Juneau, Alaska, United States Colas Full time

    Subsidiary: Colaska Inc.Secon is one of the companies within Colaska Inc., the Colas USA subsidiary that operates throughout the state of Alaska. Secon is based in Juneau, where the company provides construction materials commercially, with satellite offices in Sitka and Ketchikan. Secon constructs project large and small; be it highways, airports, rural...

  • Car Rental Clerk

    2 weeks ago

    Juneau, United States Kendall Automotive Group Full time

    Kendall Auto Group is one of the largest family owned and operated dealers in Alaska and premier employer in Juneau. We are looking for a Car Rental Clerk to join our team. This is a fast-paced environment serving clients coming and going from the airport. Some of the benefits of working with Kendall as a Car Rental Clerk are: Competitive pay - $18.00/H +...

  • Dir- Marketing

    4 weeks ago

    Juneau, United States Marriott Full time

    Marriott Dir- Marketing & Operations Juneau , Alaska Apply Now Additional Information Director of Marketing and Operations, The Ritz-Carlton Leadership Center Job Number 24067431 Job Category Human Resources Schedule Full-Time Located Remotely? Y Relocation? N Position Type Management JOB SUMMARY The Ritz-Carlton Leadership Center is a for-profit, external...

  • Dir- Marketing

    1 week ago

    Juneau, United States Marriott Full time

    Marriott Dir- Marketing & Operations Juneau , Alaska Apply Now Additional Information Director of Marketing and Operations, The Ritz-Carlton Leadership Center Job Number 24067431 Job Category Human Resources Schedule Full-Time Located Remotely? Y Relocation? N Position Type Management JOB SUMMARY The Ritz-Carlton Leadership Center is a for-profit, external...

  • Clinical Operations Manager: Southern Region

    3 weeks ago

    Juneau, United States South East Alaska Regional Health Consortium Full time

    Clinical Operations Manager: Southern Region page is loaded Clinical Operations Manager: Southern Region Apply locations AK - Juneau time type Full time posted on Posted 3 Days Ago job requisition id 2023-7756 SEARHC is a non-profit health consortium which serves the health interests of the residents of Southeast Alaska. We see our employees as our strongest...