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60 Par Network Administrator Jobs Hiring Near You

Site Manager

Bronx, NY · On-site

$65K/yr

For over 50 years, Acacia Network and its affiliates have been committed to improving the quality ... Ensure facility is adequately stocked with necessary supplies and par levels are maintained.

Ensure network connectivity throughout a company's LAN/WAN infrastructure is on par with technical ... Works with project teams to help implement Internal Systems (e.g. CRM, ERP, etc...) Administer SFTP ...

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Senior Manager, Provider Reimbursements

Hawaii Medical Service Association

Honolulu, HI • Hybrid

Full-time

Re-posted 17 days ago


Job description

  1. Oversee management and staff responsible for implementation and administration of Provider Reimbursement methodologies, including, but not limited to: Institutions, Professionals, and ancillary providers.
    • Provide management reports and analysis needed for decision making, physician and institutional contracting, and ensuring adequate provider network access.
    • Participate in provider negotiations to ensure that costs are within the anticipated budget.
    • Administer operational activities to ensure compliance with par provider contracts
  2. Serve as department leader on large, corporate-wide projects and programs that affect the organizations long term goals and objectives. Partner with management to determine projects/programs desired outcomes as it relates to corporate strategies.
  3. Recruit, train, and manage staff spanning across all areas of the entire Finance department. Develop and foster personal growth, learning, and accountability of the staff.
  4. Has oversight of the department's compliance policies, procedures, and internal controls in accordance with SSAE, CMS, MAR, SOC 2, BCBSA guidelines, and other regulatory requirements.
  5. Plan, schedule, measure and coordinate projects and tasks for unit and other business areas. Make decisions to control scope and resources, prepare documentation and ensure work flows are in accordance with our par contracts; through use of effective communication skills. Acts as a Lead Representative, presenting HMSA's case externally to the Fee review committee.
    • Respond to ad-hoc data requests from management, executive staff, and external departments in relation to corporate goals and initiatives to HMSA's vision. Coordinates Finance duties for Physician fee reviews for all lines of business
  6. Establish and foster productive working relationships with internal and external parties by:
    • Effectively conducting meetings and discussions to achieve collaboration, trust, and consensus
    • Achieving service commitments from core and support functional areas
    • Prioritizing, tracking, and managing deliverables.
  7. Assist in monitoring and planning for the department budget. Coordination of all Internal and External audits and implementation of control points for fee loading internally and with partners.
  8. Perform all other miscellaneous responsibilities and duties as assigned or directed

#LI-Hybrid

  1. Bachelor's degree and six years related experience in financial reporting and/or data analysis, or equivalent combination of education and experience.
  2. Two years of supervisory/management experience.
  3. Effective written and verbal communication skills.
  4. Demonstrate knowledge in project management, planning, and organization.