Provider Network Operations Analyst-PHP

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Summary:

Type of Opportunity:

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Responsibilities:

This position is responsible for the coordination of a variety of projects, initiatives and specialized program activities with minimal oversight and independent judgement. Supports the PCSC by monitoring project progress; assist department leadership and project staff members with ongoing organizational requirements and ensuring the timely resolution of customer, provider, and inter-departmental requests

Some key responsibilities include:

• Lead process improvement initiatives and provide project support, including researching, editing, assimilating data, preparing charts and graphs, and drafting of communications, reports, and preparing presentations.

• Utilizing Clarabridge, Tableau, and other data tools or sources to get insights that will be used to improve processes related to access and other member, patient, and provider experience.

• Research and respond to requests for information from internal and external sources using independent judgement.

• Serve as a liaison with senior leaders, PCSC, and other departments as needed to resolve issues related to member, patient or provider experience.

• Gather data, research and draft special projects, memos, correspondence, and data compilation, scrub reports and provide metrics.

• Provide weekly project support in the management of the work plans and oversee team progress ensuring accountability for their assignments and deliverables.

• Carry out project-related administration, such as scheduling tasks and producing/filing general documentation

• Attend multi-stakeholder meetings independently, represent the departments interests in meetings, and make appropriate recommendations. Meet with stakeholders independently, identify tasks, action items and next steps and carry out those activities with minimal oversight.

Qualifications:

• Associates Degree in related field; three years of related experience can be substituted in lieu of degree; *Minimum 3 years of previous leadership experience preferably in a Call Center/Contact Center management environment

• Effective leadership and analytical skills including working knowledge of financial statement analysis, staffing models, scheduling, access and telecom opportunities

• Ability to think and plan strategically with a willingness to pursue innovative solutions

• Strong relationship building skills with ability to effectively manage group and interpersonal conflict situations

• Proven negotiation, interpersonal, written and oral communications skills

• Computer Skills: Microsoft Outlook, Word and Excel skills

All benefits-eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short-term and long-term disability, group term life insurance and other optional voluntary benefits.

Wellness
Presbyterian's Employee Wellness rewards program is designed to provide you with engaging opportunities to enhance your health and activate your well-being. Earn gift cards and more by taking an active role in our personal well-being by participating in wellness activities like wellness challenges, webinar, preventive screening and more.

Why work at Presbyterian?
As an organization, we are committed to improving the health of our communities. From hosting growers' markets to partnering with local communities, Presbyterian is taking active steps to improve the health of New Mexicans.

About Presbyterian Healthcare Services
Presbyterian exists to improve the health of patients, members, and the communities we serve. We are locally owned, not-for-profit healthcare system of nine hospitals, a statewide health plan and a growing multi-specialty medical group. Founded in New Mexico in 1908, we are the state's largest private employer with nearly 14,000 employees - including more than 1600 providers and nearly 4,700 nurses.

Our health plan serves more than 580,000 members statewide and offers Medicare Advantage, Medicaid (Centennial Care) and Commercial health plans.

AA/EOE/VET/DISABLED. PHS is a drug-free and tobacco-free employer with smoke free campuses.