PacificSource

Director, Provider Network Operations

Bend, OR · Director

Sponsorship not specified$108k-$184kDetected 6 days ago

ComplianceHIPAALeadershipCommunicationCollaborationMentoring

About the role

Lead initiatives to ensure seamless integration and ongoing operational effectiveness of provider network platforms with legacy and emerging systems.
Fostering partnerships with software vendors and internal stakeholders to optimize the interoperability of tools and streamline network operations
Collaborate with IT teams and operational leaders to identify interoperability gaps and develop solutions to enhance system compatibility.
Ensure integrated systems support compliance with state, federal, and NCQA standards, as well as organizational policies.
Develop automated workflows and processes that ensure accurate synchronization of data across all platforms and departments. Guiding efforts to improve functionality via the deployment of LEAN methodologies and resources.
Strengthen relationship management frameworks to ensure consistent communication and support for provider partners.
Guide division functional leaders to develop business plans that ensure successful initiatives have a positive impact on the member, provider partners and PacificSource.
Regularly assess provider feedback and implement enhancements to address pain points and improve relationships.
Develop and implement coaching and training programs with division leaders to foster team growth. Oversee resources and prioritization of those resources as new competencies are needed when the company grows and expands into new markets.
Perform other duties as assigned.

Ability to read and comprehend both written and spoken English.
It is not designed to contain or be interpreted as a comprehensive list of all duties, responsibilities, and qualifications required of employees assigned to this position.
Management experience required.
Candidates with an associate's degree and 2 years of relevant experience, or a high school diploma and 4 years of relevant experience, in addition to the required minimum years of work experience will also be considered.

Accountable leadership, Business & financial acumen, Empowerment, Influential Communications, Situational Leadership, Strategic Planning
Compensation Disclaimer
Base Range:
$108,468.62 - $184,396.64
The wage range provided reflects the full range for this position.
Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.

The wage range provided reflects the full range for this position.
The maximum amount listed represents the highest possible salary for the role and should not be interpreted as a typical starting wage.
Actual compensation will be determined based on factors such as qualifications, experience, education, and internal equity.
Please note that the stated range is for informational purposes only and does not constitute a guarantee of any specific salary within that range.
Oversee the planning of annual IT work plans, initiative work plans, financial budgets, and resource needs for the role of supervisory departments.

This position is responsible for all lines of business (Medicaid, Medicare, Commercial) and leads in strong alignment with the company's strategic plan, vision, and values.
Bachelor's degree in business, health care administration, finance, or related field required.

equal opportunity employer.
We actively work to advance social justice, equity, diversity and inclusion in our workplace, the healthcare system and community.

This listing is sourced directly from PacificSource's careers page and normalized into a canonical job model.