[Remote] Provider Program Manager (Provider Credentialing Required)
Note: The job is a remote job and is open to candidates in USA. TriWest Healthcare Alliance 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 within the provider services departments, collaborating with executives and stakeholders to meet organizational objectives.ResponsibilitiesAs 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 objectivesWorks 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 lead on business requirement developmentTracks, analyzes, and summarizes data for reporting, decision making, and follow-up action plansWorks with stakeholders and other subject matter experts to build documents and tools to support goalsPrepares meeting agendas to include meeting summaries and due-outsBuilds project schedules and tracking templates to monitor progressFacilitates solution design sessions and creates follow-up action plansPerforms first-level primary research and discovery to scale and optimize current operationsPartners with enterprise QPI team to develop project methodologies, processes, tools, and standards in support of maturing capabilitiesOther duties as assignedRegular and reliable attendance is requiredSkillsBachelor's Degree in Business, Healthcare Administration, or other related field, or equivalent experienceU.S. CitizenshipMust be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation7+ years of managing projects and/or programs at an enterprise level with at least 5 years in a healthcare related industry and specifically in alternative payment models, provider credentialing, or provider educationDemonstrated success in designing, implementing, and delivery of provider programsAdvanced verbal and written communication skills, with ability to lead and motivate diverse teamsExperience managing vendor/partnership relationshipsExperience utilizing Microsoft Office Suite (Word, Excel, PowerPoint, Project, Access)Master's Degree in Business, Healthcare Administration, or other related fieldProject Management Professional (PMP) certificationProgram Management Professional (PgMP) CertificationExperience working with Department of Veterans Affairs and/or Military Health System/TRICAREBenefitsMedical, Dental and Vision CoveragePaid time off401(k) Retirement Savings Plan (with matching)Short-term and long-term disability, basic life, and accidental death and dismemberment insuranceTuition reimbursementPaid volunteer timeFrequent pay raisesOvertime opportunities to earn even moreRecognition and reward programsCompany OverviewTriWest Healthcare Alliance - 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.