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TPA and Network Manager (00151438)

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Regulatory
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Community Health, Georgia Department of - DCH

Please visit the DCH jobsite link to review the job posting and apply:

If interested, please apply to:

https://www.governmentjobs.com/careers/dchga/jobs/4987979/tpa-and-network-manager-00151438

 

Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.

For other DCH career opportunities, please visit: https://dch.georgia.gov/dch-employment

The Georgia Department of Community Health (DCH) is one of Georgia’s four health agencies serving the state’s growing population of almost 10 million people. DCH serves as the lead agency for Medicaid, oversees the State Health Benefit Plan (SHBP), and includes Healthcare Facility Regulation, impacting one in four Georgians.  Through effective planning, purchasing and oversight, DCH provides access to affordable, quality health care to millions of Georgians, including some of the state’s most vulnerable and under-served populations. Six enterprise offices support the work of the agency’s four program divisions. DCH employees are based in Atlanta, Cordele and across the state.

The Department of Community Health is seeking a highly skilled TPA & Network Manager to lead the strategic oversight of provider networks and third-party administrator (TPA) partnerships for both Commercial and Medicare Advantage plans. This role is responsible for ensuring network adequacy, managing vendor performance, and aligning provider contracts with financial, regulatory, and quality benchmarks. This is a hybrid position that requires in-office and remote work with the approval of the supervisor.  The days and frequency in the office can change at any time during employment based on the business needs of the organization.

 

Please visit the DCH jobsite link to review the job posting and apply:

If interested, please apply to:

https://www.governmentjobs.com/careers/dchga/jobs/4987979/tpa-and-network-manager-00151438

 

Applicants who do not apply using the DCH Jobsite link provided above will NOT be considered.

For other DCH career opportunities, please visit: https://dch.georgia.gov/dch-employment

High school diploma/GED and five (5) years of job-related experience which includes two (2) years in a lead worker, team leader, or supervisory role related to the area of assignment; or two (2) years of experience required at the lower level Complnc Specialist 3 (RCP062) or position equivalent. Note: Some positions may require a certification or licensure. Note: Some positions may require a valid driver's license.

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