Website QTC Management, Inc.
The QTC Management, Inc. is looking for highly talented individuals in their United States offices. Motivated candidates are encouraged to apply for the Provider Utilization Mgmt Rep Asc. Top notch communication and teamwork skills will be preferred.
Job: Provider Utilization Mgmt Rep Asc
Company: QTC Management, Inc.
Location: United States
Oversees and leads company efforts to coordinate utilization of providers within the company network. Designs and advocates process and system improvements to assess issues and develop resolutions to enhance provider quality, timeliness, customer service, and cost-effectiveness objective; Develops mechanisms for monitoring projects progress and for intervention and problem solving with internal operational teams.
Essential Duties and Responsibilities:
Interfaces daily with the utilization team to ensure effective management of:
provider capacity requirements by specialty and location
recruiting efforts and pipeline analysis
on-boarding/credentialing and orientation efforts
training and mentoring
utilization and provider customer service
Gather and analyze data regarding provider utilization and make recommendations to team members for improving utilization presence at monthly utilization meetings with the utilization team
Conduct utilization meetings to identify providers to be acknowledged for superior performance as well as providers that may be struggling from either a quality or timeliness perspective
Incorporate provider loyalty programs to improve overall provider network
Other duties and projects as assigned
Demonstrated ability to work independently, take initiative and be self-motivated
Ability to effectively manage competing priorities with a sense of urgency
Possess excellent organizational and follow up skills, with a strong attention to detail
Education and/or Experience: (includes certificate & licenses)
Proficient in Windows operating system and Microsoft Office programs and Microsoft SharePoint; excellence with Microsoft Excel (ability to create Pivot tables and V-Lookups) and experience with Tableau is desired
Knowledge/experience with provider or healthcare management
This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.
QTC Management Inc. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, sexual orientation, people with disabilities protected under law, and protected veteran status.
Sense of Urgency
Dedicated: Devoted to a task or purpose with loyalty or integrity
Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well
Team Player: Works well as a member of a group
Goal Completion: Inspired to perform well by the completion of tasks
Growth Opportunities: Inspired to perform well by the chance to take on more responsibility
Self-Starter: Inspired to perform without outside help
Work-Life Balance: Inspired to perform well by having ample time to pursue work and interests outside of work
Bachelors or better.
Less than 3 years: Relevant Professional Experience
Licenses & Certifications
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)
To apply for this job please visit recruiting2.ultipro.com.