Easter Seals Jobs

Working Each Day to Make a Difference

At Community Health Plan of Washington, we're driven by our belief that everyone deserves access to quality health care.

More than 25 years ago, we made a commitment to improve the health of our communities by making quality health care accessible to all Washington state residents.

We continue that pledge today by providing affordable comprehensive coverage to more than 315,000 individuals and families throughout the state.

• We are a local not-for-profit health plan in Washington State.
• We are committed to keeping Washington families healthy.
• We connect our communities to the health resources they need.
• We provide access to high-quality care for our members.
• We connect and empower our members through technology.
• The Community Health Centers we partner with strive to support members with a comprehensive mix of medical resources in one convenient location.
• Our partnerships with Community Health Centers and our extended provider network help us improve the health care delivery system.

To learn more about how you can make a difference working at Community Health Plan of Washington, visitwww.chpw.org{rel="nofollow"}.

* *

Director, Provider Data Management

This position is a Hybrid position with the option for either full-time in office or hybrid between remote/home and in office as required. It will require periodic meetings in the main office in Seattle. Any candidate located within Washington State is welcome to apply.

* *

[POSITION PURPOSE:]{.underline}

The Director of Provider Data Management owns and is responsible for CHPW's Provider Data Management Program, directing internal processes related to managing Provider Data Services; responsible for interpreting, analyzing, researching and maintaining accuracy and completeness of provider data across multiple data bases and online provider directory. Oversight of the setup and maintenance of provider demographics, provider exclusions by regulatory authorities, provider terminations (voluntary and involuntary) in claims system and working directly with providers and internal departments to resolve escalated concerns.

[Education &]{.underline} [Prior Related Experience]{.underline}:

• Have ten or more (10+) years' experience within healthcare operations, operational quality improvement.
• Have six or more (6+) years' experience successfully managing and mentoring people leaders and direct reports required.
• Have experience with contract negotiations and oversight of business process vendors.
• Have five (5) years' experience handling progressively more complex healthcare issues strongly required.
• Have experience managing projects across departments and work groups.
• Have experience with state and federal managed care preferred.
• Have experience establishing and managing complex relationships strongly preferred.
• Have experience with advanced analytic features of Access and Excel preferred.

[ PRINCIPAL DUTIES:]{.underline}

Identify, lead, and contribute to short- and long-term organizational planning and strategy as a member of the leadership team. Represent provider data and Provider Data Services department on key cross-departmental and companywide projects, improvement teams, and organizational initiatives, CHPW's Strategic Planning, and bringing on new products.

Responsible for directing PDS staff including identifying staffing and resource needs, build and manage highly effective teams with effective hiring, appropriate performance management to achie