tango is a leader in the home health management industry and is preparing for significant growth! Our mission is to deliver innovative, home-based, post-acute solutions through proprietary technology and proven processes. We partner with health plans to provide a comprehensive suite of products and services designed to manage the total cost of care.
We are currently looking for a Director, Network Operations to join our growing team!
The Network Operations Director is a key leadership role responsible for overseeing the entire provider credentialing process, optimizing operational workflows, implementing policies, and leading strategic initiatives within the Network Department. This role involves managing a dedicated team, coordinating communications, and ensuring accurate provider data configuration. Additionally, the Director will oversee provider onboarding and system enhancement requests, contributing to the ongoing transformation of network management operations. Successful candidates will bring a proven track record of effective leadership, strong compliance knowledge, and a focus on driving impactful enhancements in a dynamic environment.
Job Responsibilities:
- Manage the credentialing team, providing guidance and oversight throughout the end-to-end provider credentialing process.
- Ensure that provider credentials align with company compliance policies, Medicare guidelines, and State and Federal laws and regulations.
- Review Network department workflows and proactively recommend improvements for enhanced operational efficiency and team performance.
- Develop, implement, evaluate, and refine operational policies and procedures for the Network department, aligning with industry standards and best practices.
- Plan, develop, and track projects related to operational enhancements, network related system implementations, and provider network strategic initiatives, assessing their impact on the Network Management function.
- Lead the execution of strategic initiatives that contribute to the ongoing transformation of network management operations.
- Oversee and coordinate the release of all Network-related communications, ensuring clear and consistent messaging.
- Take charge of all provider data configuration activities, ensuring accuracy and alignment with organizational objectives.
- Collaborate cross-departmentally to execute on provider configuration, process improvement, and strategic Network initiatives.
- Oversee a centralized provider onboarding and system enhancement requests process.
- Undertake network management assignments and other duties as directed by the management team.
Ideal Candidate:
- Helps to create a challenging and fulfilling work environment while empowering others to deliver high quality customer service to both internal and external clients.
- Excellent interpersonal, organizational and critical problem-solving skills.
- Ability to build trust and assurances with various partners and stakeholders both externally and internally.
- Project management skills with a focus on driving impactful enhancements.
- Establish forward-looking goals and deliver results.
- Proven experience in effectively leading teams managing credentialing processes and other network operations tasks.
- Strong understanding of compliance policies, Medicare guidelines, and State and Federal laws and regulations.
- Track record of optimizing workflows and implementing operational policies.
- Project management skills with a focus on driving impactful enhancements.
- Excellent written and verbal communication and presentation skills.
- Ability to lead internal and external meetings.
- Proficient in the use of Microsoft Office products (Word, Excel, Outlook and PowerPoint).
Requirements:
- Minimum 5 years’ experience in a leadership role for a home health entity or minimum 3 years’ experience in a supervisor or management role for an insurance company.
- Degree in healthcare administration, business administration or a closely related field preferred.
- Minimum 2 years’ experience in a project manager role, preferred.
- Must have a strong understanding of ancillary provider credentialing.
- Must have a strong working knowledge of home care’s role in the post-acute care space.
- Requires significant strategic experience working within home health, hospital setting, hospital system, association, insurance plan or benefit management organization.
- Experience interacting, directing strategic planning, business planning and/or other organizational development activities.
- Demonstrated management skills that include making effective and efficient decisions and prudent judgment to achieve long-range and short-term goals.
- Knowledge of business processes that impact ancillary contracts.
- Knowledge of ancillary contract reimbursement methodologies.
- Ability to travel on a quarterly basis, at minimum.
Continuous Education:
Company personnel are expected to participate in appropriate continuing education as may be requested and/or required by their immediate supervisor. In addition, company personnel are expected to accept personal responsibility for other educational activities to enhance job related skills and abilities. All company personnel must attend mandatory educational programs.
tango provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. tango will make reasonable accommodations for qualified individuals with known disabilities unless doing so would result in an undue hardship.