Manages the Magellan Provider Contract Administration functions. Ensures accurate and timely processing of all provider contracting activities in accordance with client, regulatory, and Magellan Policy and Procedures. Manages and maintains daily workflow, ensure production and quality standards are met, and ensures operational efficiencies and effectiveness. Ensures coordination between provider credentialing, contract administration and all Magellan departments, including field network with regard to interdependencies, procedure development, auditing, training and quality improvement. Provides leadership to establish a positive work environment that encourages employee participation in process improvement and commitment to department/company success

• Coordinates, establishes and maintains productivity and quality standards. Oversees network administration staff to assure production and tracking of contract and credentialing processes.

• Partners with leadership to ensure process changes are developed when necessary, training is provided, processes are implemented and results support department success.

• Manages hiring, employee turnover and training within Human Resources guidelines and requirements in a manner that results in a stable, positive and productive work environment.

• Represents Network in client meetings and committees as needed.

• Responsible for day to day network management and provider relations, including implementing processes between network management and program administration. These include credentialing/certifications, supporting provider training, identifying and gaining legal approval for contract language changes, contract signatures and execution, addition of addenda to contracts as required, interfacing with communications (provider services line, letters, website) and data management.

  Other Job Requirements

Responsibilities

5+ years of progressively more responsible health care administration experience with strong preference for managed care experience.

A minimum of 1 year experience in a supervisory role.

Capable of managing a variety of complex issues while driving momentum of key projects.

Clearly and understandably articulates goals and expectations, relating them to the business mission and direction.

Ability to analyze data to model contracts and fee schedules. Database management experience.

Proficient use of Microsoft Office products.

General Job Information

Title

Manager, Network Management - (Remote in Albuquerque, NM)

Grade

26

Work Experience - Required

Network, Supervisory

Work Experience - Preferred

Education - Required

Bachelor's

Education - Preferred

Master's

License and Certifications - Required

License and Certifications - Preferred

Salary Range

Salary Minimum:

$70,715

Salary Maximum:

$113,145

This information reflects the anticipated base salary range for this position based on current national data. Minimums and maximums may vary based on location. Actual pay will be adjusted based on an individual's skills, experience, education, and other job-related factors permitted by law.

This position may be eligible for short-term incentives as well as a comprehensive benefits package. Magellan offers a broad range of health, life, voluntary and other benefits and perks that enhance your physical, mental, emotional and financial wellbeing.

Magellan Health, Inc. is proud to be an Equal Opportunity Employer and a Tobacco-free workplace. EOE/M/F/Vet/Disabled.Every employee must understand, comply with and attest to the security responsibilities and security controls unique to their position; and comply with all applicable legal, regulatory, and contractual requirements and internal policies and procedures.

Magellan is the employer of choice for hard working people interested in making a difference in the health care industry and in the communities where we work and live. Our strong culture of caring is the common thread in both our business strategy and our work environment. We value professional growth and development, total health and wellness, rewards and recognition as well as employee unity. Magellan is a place where you can thrive.

Magellan is committed to providing equal employment opportunities to employees and applicants for employment without regard to race, color, creed, religion, sex, gender identity and expression, sexual orientation, marital status, age, national origin, ancestry, citizenship, physical or mental disability, disabled veteran or veteran of the Vietnam Era status, or any other factors protected by law.

Magellan is committed to meeting applicable Federal labor and employment law posting requirements by providing necessary posters in a format which is easily accessible and conspicuous to all applicants. Copies of applicable posters are accessible by clicking here (https://www.magellanhealth.com/media/760295/mg-federal-contractors-applicant-english.pdf) .

Warning: Employment Scam

It has come to our attention that a false representative is contacting potential candidates and offering them work at home positions with Magellan Health. “Interviews” are conducted completely through email and the false job offer includes the promise of a check to be issued to the candidate for the purposes of setting up a home office.

Please know that Magellan Health does not interview any candidate through email, nor do we issue checks to candidates to set up home offices. All of our available positions are posted on legitimate job boards and our recruitment team directly contacts candidates should there be a fit.

If you suspect you are being contacted by a false representative of Magellan Health, please call 410-953-2911