Provider Recruitment Manager, Vision (Eye Care)

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Avesis is seeking an experienced Vision Provider Recruitment Manager to spearhead department projects, initiatives, and goals for our Vision Provider Recruitment team. The ideal candidate should possess a sense of urgency and the ability to collaborate with and support multiple teams, including the Vision Provider Relations team, customer service, account management, compliance, clinical, and reporting analysts. As a people manager of this team, you will lead all new Vision Provider Network builds for our government and commercial programs. You will also provide gap analysis for the vision/eye care markets and support provider/physician recruitment initiatives to address those gaps. Additionally, you will monitor network adequacy requirement changes/additions and oversee network adequacy process workflows with key departments. Fostering a collaborative environment between the provider recruitment team and other key Avesis departments is crucial for multiple large-scale initiatives across company. You will also partner closely with the Sr. Director of Provider Operations & Network Management to drive the overall performance and success of the team.

Core Competencies:

• Collegiality: building strong relationships on company-wide, approachable, and helpful, ability to mentor and support team growth.
• Initiative: readiness to lead or take action to achieve goals.
• Communicative: ability to relay issues, concepts, and ideas to others easily orally and in writing.
• Member-focused: going above and beyond to make our members feel seen, valued and appreciated.
• Detail oriented and thorough: managing and completing details of assignments without too much oversight.
• Flexible and responsive: managing new demands, changes, and situations.
• Critical Thinking: effectively troubleshoot complex issues, problem solve and multi-task.
• Integrity & responsibility: acting with a clear sense ownership for actions, decisions and to keep information confidential when required.
• Collaborative: ability to represent your own interests while being fair to those representing other or competing ideas in search of a workable solution for all parties.

Essential Job Functions:

• Provide leadership for and oversight of provider recruitment and network adequacy teams.
• Ensure development of stable provider networks to facilitate broad member access for commercial, Medicaid and Medicare for vision plans.
• Function as the first point of escalation for Recruitment and Network Adequacy.
• Work with Account Management and Actuarial teams in negotiating provider reimbursements.
• Develop and continuously maintain team training …