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CareOregon Inc. Network Access and Adequacy Program Manager in Seattle, Washington

Career Opportunities: Network Access and Adequacy Program Manager (24774) Requisition ID 24774 - Posted 01/10/2025 - CareOregon - Full Time - Permanent - Portland - Multi Location (2) Job Description Print Preview Job Title Network Access and Adequacy Program Manager Requisition # 24774 Exemption Status Exempt Management Level n/a Direct Reports n/a Manager Title Operations Manager - Provider Network Department Provider Network Operations Pay and Benefits Estimated hiring range $88,430 - $108,080 /year, 5% bonus target, full benefits. www.careoregon.org/about-us/careers/benefits Posting Notes This is a hybrid role that will require you to go into the downtown Portland office 1-2 times per week. Job Summary The Network Access and Adequacy Program Manager oversees CareOregon's Network Access and Adequacy Program, ensuring compliance with regulatory standards and supporting organizational goals for provider accessibility and adequacy. This role is pivotal in advancing CareOregon's strategic goals by driving network optimization, compliance, and performance metrics aligned with the organization's long-term growth and member access needs. The Program Manager collaborates with internal teams and external partners to address network gaps, align strategic objectives, and improve network performance. Key responsibilities include managing the program, implementing corrective actions, driving data analysis and process improvement, and supporting readiness for quality accreditation. The Program Manager also leads staff training and stakeholder engagement to enhance program knowledge and visibility across the organization. Essential Responsibilities Program Management and Staff Development Lead the development and business operations of the Network Access and Adequacy Program, coordinating efforts to identify, implement, and achieve program goals and performance metrics that meet and exceed regulatory requirements while advancing the organization's strategic objectives. Maintain a catalog of program-related compliance requirements, ensuring all are accounted for in policy and procedure and that business processes are routinely monitored for adherence. Implement, and support the resolution of, corrective action initiatives where appropriate and in collaboration with the Compliance department. Lead the development, implementation, and business operations, of the network access and adequacy governance framework, establishing policies, coordinating and executing governance goals, and ensuring thorough documentation and clear communication across all involved groups. Implement and leverage best practices in project management, change management, and quality improvement to optimize provider network and program performance. Serve as the program's internal primary point of contact for related issues and questions, facilitating open communication and addressing concerns to uphold the organization's accessibility and quality standards. Cultivate and maintain collaborative relationships with key external stakeholders, including provider groups, regulatory agencies, and healthcare partners, in support of program objectives and compliance. Collaborate with leadership to support the implementation and execution of various strategic network development and optimization initiatives, ensuring alignment with the organization's long-term goals for provider accessibility and quality. Lead the development, delivery, and maintenance of training materials related to program activities, compliance, and goals, ensuring team alignment and engagement. Program Deve

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