Network Operations Supervisor jobs in Iowa

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Provider Network & Operations Coordinator
  • MercyOne
  • Clive, IA FULL_TIME
  • Employment Type

    Full time

    Shift

    Description:

    As an integral team member of MercyOne PHSO’s Operations team, the Provider Network & Operations Coordinator assists PHSO leadership on tasks as assigned. Functions including oversight and management for the MercyOne Provider Network Directory, Compliance & auditing, and coordination of projects. Serves as a liaison between PHSO administration, Chapters, regulatory bodies, and MercyOne Partnered Provider organizations/providers as needed. This role is part of the MercyOne PHSO Operations team, reporting to the Provider Network Lead.

    Essential Position Expectations

    Provider Network Support

    • Serves as the key resource to implement and maintain an accurate, NCQA-compliant Provider Network Directory.
    • Develops and maintains intake/assessment forms to gather key information to support the Provider Network Directory.
    • Coordinates with Medical Staff Offices, Physician Recruitment and Employment, and Clinic Managers to obtain all required information as part of recruitment processes.
    • Assists in the management of PHSO Participant Agreements and Network Contracting.
    • Assists in the investigation and response to member inquiries related to the Provider Network and Directory.

    Compliance Support

    • Manages and monitors electronic Policy and Procedure handbook and other key documentation.
    • Completes documentation and user audits according to federal and state health statutes, as well as third party control provisions.
    • Assists the ACO Compliance Official in evaluating and responding to inquiries from governing bodies/regulatory agencies (i.e.: CHAN, Centers for Medicare and Medicaid Services)
    • Assists in the on-boarding of new ACO Participants and Providers.
    • Responds to PHSO email and phone inquiries from patients, providers and regulatory bodies.

    Project & Meeting Support

    • Assists with agenda creation, presentation of materials, and minutes for key meetings, including Provider Network Council and Chapter Governance Meetings.
    • Assists PHSO leadership with special projects, including the tracking of deliverables, compiling information and reports, etc.
    • Acts as resource in various committees and meetings to coordinate changes in ACO processes.
    • Maintains PHSO directories, websites, and Sharepoint sites with education content.
    • Other duties and projects as assigned.

    Knowledge & Skills

    • Experience in ACOs and knowledge of value-based care is preferred.
    • Demonstrated proficiency in Microsoft applications (e.g., Word, Excel, PowerPoint) required.
    • Strong demonstrated verbal communication and critical thinking skills required.
    • Excellent verbal and writing skills required.
    • Excellent organizational skills and attention to detail required.
    • Ability to manage and prioritize multiple deliverables required.
    • Excellent project management skills strongly preferred.
    • Demonstrated presentation skills preferred.

    Mental & Physical Demands

    Must be able to pass a pre-employment health and drug screening at time of hire. Frequently required to carry or lift items weighing up to 10 pounds. Occasionally required to carry or lift items weighing up to 25 pounds for short distances. Occasionally required to stand or walk. Frequently required to sit in a stationary position. Occasionally performs activities that require stooping, bending and reaching, squatting, balancing, and trunk twisting throughout the day. Frequently able to detect and discern both loud and soft sounds such as phone calls and customer questions. Constantly able to use hands and fingers to type, write, and file. Frequently able to use near vision for viewing computer monitor and written materials. Occasionally required to detect unusual odors that could indicate environmental issues. Must be able to travel to the various MercyOne sites as needed. Must possess the ability to comply with MercyOne policies and procedures

    Education: Bachelor’s degree preferred. In lieu of educational requirements previous work history and years of experience may be considered.

    Experience: Minimum of one year of experience with a healthcare system, health plan or healthcare accrediting body. Prior experience in project coordination preferred.

    Licensure or Certification: N/A

    Our Commitment to Diversity and Inclusion

    Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

    00514525
  • 11 Days Ago

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Director of Network Operations
  • Zelle HR Solutions
  • Elkader, IA FULL_TIME
  • The Director of Operations is responsible for all technical operations – including but not limited to growth and training of the technical staff, implementation and research of technologies, driving i...
  • 14 Days Ago

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Network Operations Center Specialist
  • CL Tel
  • Clear, IA FULL_TIME
  • Overview: CL Tel is a fifth-generation family business that helps people lead fulfilled lives and impact the world for good. Our team is working together to achieve our goal of serving 10,000 Internet...
  • 29 Days Ago

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Operations Secretary
  • OPERATIONS
  • Des Moines, IA FULL_TIME
  • 8 hr/day. 8:00 am - 4:30 pm. JOB DESCRIPTION Selection Procedure: Applicants with completed applications will be screened for the interview process. If you are selected for an interview, you will rece...
  • 1 Day Ago

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Supervisor - Operations
  • CRST The Transportation Solution, Inc
  • Rapids, IA FULL_TIME
  • Corporate Overview: CRST The Transportation Solution, Inc. is delivering promises and driving success so we can all have what we need to live and thrive. We need talented individuals to help us bring ...
  • 2 Days Ago

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Operations Supervisor
  • AgState
  • Alta, IA FULL_TIME
  • OPERATIONS SUPERVISOR Do you have a desire to work in a team atmosphere? Do you have experience supervising employees? Join our team TODAY!This position oversees providing operational oversight for al...
  • 5 Days Ago

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Account Executive, OnMedia - Located in West Des Moines, IA
  • Mediacom Communications Corporation
  • West Des Moines, IA
  • Located in West Des Moines, IA Position: Account Executive, OnMedia Who we are: Since 1995, Mediacom Communications has ...
  • 6/11/2024 12:00:00 AM

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Radiologic Technologist
  • Ascension
  • Grand Blanc, MI
  • Details Sign On Bonus: $7,500 Department: Diagnostic Radiology Schedule: 3p-11:30p. This position works rotating weekend...
  • 6/11/2024 12:00:00 AM

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Sr. Network Engineer
  • Verinext
  • Tuscaloosa, AL
  • Join Verinext, a technology company that's not just keeping up with the future, but actively shaping it. At Verinext, we...
  • 6/11/2024 12:00:00 AM

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Radiologic Technologist
  • Ascension
  • Grand Blanc, MI
  • Details Sign On bonus: $7,500 Department: Radiology- Primarily working with Fluoroscopy in OR Schedule:7am-3:30pm,rotati...
  • 6/11/2024 12:00:00 AM

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Outreach and Donations Coordinator
  • I Support The Girls
  • Rockville, MD
  • Office Location: Rockville, MD Schedule: Full-time, Monday-Friday (8:30am EST-5:30pm EST) Who we are: Through an interna...
  • 6/11/2024 12:00:00 AM

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Sales Development Representative
  • EVmatch
  • Company Description: EVmatch is an early-stage EV charging company that makes EV charging profitable in shared spaces an...
  • 6/11/2024 12:00:00 AM

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ITUS - Network Engineer/Architect 2
  • Innova solutions
  • Davidson, NC
  • Innova Solutions is immediately hiring for a Network Engineer/Architect > Position type: < Contracts > Duration: 12 mont...
  • 6/10/2024 12:00:00 AM

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Line Superintendent Job Details | Entergy
  • Entergy Corp.
  • Little Rock, AR
  • Work Place Flexibility: Onsite Legal Entity: Entergy Arkansas, LLC JOB SUMMARY/PURPOSE: Responsible for the leadership, ...
  • 6/9/2024 12:00:00 AM

Iowa (/ˈaɪəwə/ (listen)) is a state in the Midwestern United States, bordered by the Mississippi River to the east and the Missouri River and Big Sioux River to the west. It is bordered by six states; Wisconsin to the northeast, Illinois to the east, Missouri to the south, Nebraska to the west, South Dakota to the northwest and Minnesota to the north. In colonial times, Iowa was a part of French Louisiana and Spanish Louisiana; its state flag is patterned after the flag of France. After the Louisiana Purchase, people laid the foundation for an agriculture-based economy in the heart of the Corn...
Source: Wikipedia (as of 04/11/2019). Read more from Wikipedia
Income Estimation for Network Operations Supervisor jobs
$106,886 to $137,185