Manager, Provider Network Reporting_PN

Manager, Provider Network Reporting

Manager, Provider Network Reporting

Who are we?

Versant Health is one of the nation's leading administrators of managed vision care, serving millions of our clients' members nationwide. We are driven by our mission to help members enjoy the wonders of sight through healthy eyes and vision.

As a Versant Health associate, you can enjoy a comprehensive Total Rewards package, which includes health and dental insurance, tuition reimbursement, 401(k) with company match, pet insurance, no-cost-to-you vision insurance for you and your qualified dependents. We are also invested in your success. There are many opportunities for advancement and development throughout all stages of your career with us.

See how you can make a difference with the support of strong leadership and a team environment.

See Everything, Be Anything™.

What are we looking for?

Overall responsibility of the Manager, Provider Network Reporting is guiding the team in order to facilitate and generate a variety of reporting tasks and associated analysis, which can be quite detailed and complex. This position sources, compiles, interprets and reconciles various types of Provider Network operational and statistical data, analyzes metrics and performance, and generates a variety of reports for internal customers and external clients. The Manager, Provider Network Reporting will be the first line of interaction and the owner of the day-to-day activities associated with reporting provider data and the generation, accuracy, and project management of more complex reports. This position will work with the departmental Management to adhere to overall business process, approach, and discipline of reporting and analysis within the unit along with guiding future provider data related strategies. Provides training and employee development to Provider Network Reporting Team as necessary.

Provides strategic and operational management of Davis Vision and Superior Vision Provider Networks.

Where you will have an impact

• Ensure the timely and accurate generation of all Provider Network internal / external reporting, consistency and standardization amongst the various types of reports and databases and manage the various reporting tools utilized by Versant Health
• Oversee and guide the reporting team to ensure best practices are adhered to along with developing future strategies and process refinement
• Develop and reconcile complex Provider Network reports to multiple data sources to validate reporting accuracy and completeness
• Collaborate with internal departments and external entities to identify and implement changes that will improve and enhance provider data quality
• Analyze, interpret and report operational performance trends from various channels & departments, identifying areas performing outside of expected results
• Manage and own the provider data outbound file project management process to identify customer needs, document requirements, obtain sign off from owner and coordinate implementation including development and testing
• Develop efficiencies to improve, consolidate, and increase the effectiveness of all provider data reporting to internal and external customers.
• Triage, assign, and fulfill queued requests related to accessibility reports, disruption and adequacy reports, network size comparisons from the RFP team, Sales VPs and RSMs, managed care clients, Compliance and other internal and external customers in an accurate and timely fashion.
• Foster a collaborative relationship between the Provider Network Reporting Team and RFP team, Sales VPs and RSMs, managed care clients, Compliance and other internal and external customers.
• Publish and post directories for all commercial networks in all states on a monthly basis and geographically specific directories as requested
• Develop, analyze and reconcile the output of complex queries using diverse reporting tools
• Write and maintain detailed procedure documentation and user instructions
• Interact with Client Management and Sr. Mgt. teams to discuss reporting results.
• Publish and post directories for all commercial networks in all states on a monthly basis and geographically specific directories as requested
• Function as a trainer for the Provider Network Reporting Team and promote employee and skillset development in all of the above activities.
• Perform ad hoc duties in accordance with business needs
• Other duties as assigned

What's necessary to do the job?

HIPAA & Security Requirements

All Associates must comply with the Health Insurance Portability Accountability Act of 1996 (HIPAA) as it pertains to disclosures of protected health information (PHI) as described in the Notice of Privacy Practices and HIPAA Privacy Policies and Procedures. As a component of job roles and responsibilities, Associates may have access to covered information, cardholder data or other confidential customer information which must be protected at all times. As a result, Associates must explicitly adhere to all data security guidelines established within the Company's Privacy & Security Training Program.

Versant Health will never request money from candidates who seek employment with us and will never ask for any payment as part of the recruitment process.

Versant Health is a proud Equal Employment Opportunity and Affirmative Action employer dedicated to attracting, retaining, and developing a diverse and inclusive workforce. All qualified applicants will receive consideration for employment at Versant Health without regards to race, color, religion, sex (including pregnancy, childbirth, or related medical conditions), sexual orientation, gender identity or expression, age, disability, national origin, marital or domestic / civil partnership status, genetic information, citizenship status, uniformed service member or veteran status, or any other characteristic protected by law.

The wage range for applicants for this position is [$95,000.00 to $100,000.00].

All incentives and benefits are subject to the applicable plan terms.

Salary : $95,000 - $100,000