Sharp HealthCare · 6 hours ago
Network Management Specialist - SCMG Provider Services - Sharp Corporate - Day Shift - Full Time
San Diego, CA
Full-time
Onsite
Senior Level
$34.17/hr - $49.37/hr
5+ years expSharp HealthCare is a leading healthcare provider, and they are seeking a Network Management Specialist to manage all aspects of an assigned SCMG provider region. The role involves working closely with the physician network and ensuring provider adherence to policies while promoting improved relationships and community outreach activities.
Health CareNon Profit
Responsibilities
Professionally manages all aspects of an assigned SCMG provider region
Works closely with the physician network, affiliated hospitals, ancillary providers, Sharp HealthCare and all departments within SCMG
Specifically, recruit, orient and provide ongoing service to providers and ensure provider adherence to policies and procedures of SCMG and affiliated health plans
Identifies and resolves providers issues or concerns in a timely manner
Consistently supports SCMG by maintaining a positive and professional image
Actively promotes improved relationships Responsible for maintaining and enhancing relationships with Providers (including ancillary) and office staff
Assist with development of marketing and public relations materials as requested for SCMG and its providers, affiliated health plans, hospitals, or consulting groups, such as newsletters or photographs of physicians
Develop relationships with community businesses (i.e. Senior Centers, Assisted Living Homes, Marketing Consulting Groups, etc.) and coordinate lectures, screenings, and other marketing events with that business
Oversees activities and coordinates projects with other persons within the Network Management Department to provide education and communicate information to the provider network. (i.e. Regional Council Meetings, PCP council, Office Manager Meetings, Joint Operation Committee Meetings, etc.)
Participate in health fairs, lectures, community events, and other marketing events to promote IPA and its affiliated providers
Responsible for producing, updating, and distributing information to provider network, including patient satisfaction reports, Pay for Performance initiatives and QISR
Perform other functions as requested
Coordinate and provide assistance to health plans and other clients as necessary for health education services (i.e. participate in health fairs and member orientations as needed)
Supports physicians and staff when implementing Information Technology in the provider offices
Able to demonstrate knowledge of hardware specifications and software applications
Installs, trains and maintains necessary applications in provider offices
Acts as liaison between Sharp IS and provider office
Attend meetings as needed to provide information about IPA's policies & procedures and operations or as a departmental representative
Responsible for agenda preparation and content; records meeting minutes
Ability to review, negotiate and comprehend physician contracts in order to respond to inquiries from physicians & staff
Conducts contract analysis related to contract performance by examining appropriate claims and other applicable data
Act as a liaison to ensure timely problem/issue resolution between Health Plans, Hospitals, SCMG, and Providers
Accountable as a liaison between providers and SCMG departments for successful identification and resolution of issues
Identify and participate in educational classes that will improve the relationship between SCMG and physician network
Coordinate the production and dissemination of necessary reports and surveys to effectively manage assigned region
Responsible for conducting on and off-site training sessions for new and existing Providers and office staff
Qualification
Required
Associate's degree related field (equivalent from two-year college or technical school may substitute)
5 years IPA or related experience with excellent organizational, oral/written communication skills, and interpersonal skills
Ability to read and analyze, and interpret contracts, general business periodicals, professional journals, technical procedures, or governmental regulations
Ability to understand computer hardware and software applications
Ability to write reports, business correspondence, and procedure manuals
Ability to effectively present information and respond to questions from groups of managers, providers and the general public
Ability to add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals
Able to demonstrate specific technical knowledge related to LAN/WAN configurations and multiple practice management systems
Ability to solve practical problems and deal with a variety of concrete variables in situations where only limited standardization exists
Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form
Must be proficient in Microsoft Office and Internet technologies
Must also be detail-oriented and be able to speak in front of large groups, audience can range from 1 to 150 individuals
Company
Sharp HealthCare
Sharp HealthCare is a not-for-profit integrated regional health care delivery system based in San Diego, Calif.
10001+ employees
H1B Sponsorship
Sharp HealthCare has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2025 (2)
2024 (3)
2023 (3)
2021 (1)
2020 (3)
Funding
Current Stage
Late StageTotal Funding
unknownKey Investors
Parkinson's Foundation
2023-07-25Grant
Leadership Team
Dan Exley
Vice President of Clinical Systems
Recent News
Medical Xpress - latest medical and health news stories
2026-01-07
2025-12-27
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