Provider Programs Manager oversees the provider network administration function of an organization. Collects data, analyzes and reports on claims, utilization, costs and changes. Being a Provider Programs Manager reviews existing and future reimbursement policies, regulations and guidelines. Ensure competitiveness of provider network by the deployment of cost effective programs and systems that deliver results that meet cost control and quality goals of the organization. Additionally, Provider Programs Manager requires a bachelor's degree. Typically reports to a manager or head of a unit/department. The Provider Programs Manager manages subordinate staff in the day-to-day performance of their jobs. True first level manager. Ensures that project/department milestones/goals are met and adhering to approved budgets. Has full authority for personnel actions. Extensive knowledge of department processes. To be a Provider Programs Manager typically requires 5 years experience in the related area as an individual contributor. 1 to 3 years supervisory experience may be required. (Copyright 2024 Salary.com)
Job Description:
WHY CHOOSE US?
As one of the nation's premier humanitarian organizations, the American Red Cross is dedicated to helping people in need throughout the United States and, in association with other Red Cross networks, throughout the world. When you join our team, you have a direct impact on a meaningful mission, and you can help save lives every day. If you share our passion for helping people, join us in this excellent career opportunity. Work where your career is a force for good.
We are committed to the diversity of our workforce and to delivering our programs and services in a culturally competent manner reflecting the communities we serve. Our work environment is collaborative, respectful, and inclusive with a focus on building allyship and a culture of belonging that empowers all team members. Come to learn, grow, and succeed while sharing your passion for making a difference.
The Red Cross supports a variety of cultural and community resource groups for employees and volunteers. From the Ability Network, our Asian American & Pacific Islander Resource Group, the Latino Resource Group, and Red Cross PRIDE, to the Umoja African American Resource Group, our Veterans Resource Group, and the Women's Resource Group, these networks provide connections, mentoring and help give voice to important concerns and opinions.
At the American Red Cross, your uniqueness can shine!
WHAT YOU NEED TO KNOW (Job Overview):
Manage and administer the delivery of American Red Cross services to meet the needs of United States military members, veterans, and their families in accordance with Red Cross policies and procedures. Support the delivery of International Services programs and services. Provide support, development and/or leadership guidance to all volunteers.
Perform all duties and responsibilities in compliance with standard operating procedures and other applicable Federal, State and local regulations.
The candidate must reside no more than 45 minutes from Portsmouth VA.
You must be able to deploy Internationally for 6 months .
WHERE YOUR CAREER IS A FORCE FOR GOOD (Key Responsibilities):
WHAT YOU NEED TO SUCCEED (Minimum Qualifications):
Bachelor's degree required.
Experience: Minimum 5 years of related experience or equivalent combination of education and related experience required.
Management Experience: Yes
A current, valid driver's license with good driving record isrequired.
Skills & Abilities: Requires strong computer skills.
Public speaking skills and the ability to communicate effectively verbally and in writing are required.
Must have strong interpersonal skills and the ability to work well in an individual or team environment.
The ability to balance multiple priorities is essential.
Familiarity with military culture, regulations and protocol is strongly desired. Experience with American Red Cross programs and services are desired.
Ability to work on a team.
For mobile positions: U.S. citizenship is required.
Must be able to obtain a secret security clearance and a no-fee U.S. passport. Worldwide mobility is a condition of employment and an essential function of this position. Must accept work assignments anywhere in the world, including conflict areas, where the American Red Cross is providing services to members of the military and their families. Must meet strict medical and physical requirements, including immunizations required by the U.S. military. May be required to wear military uniforms, and live and work in harsh and stressful environment in conflict areas.
Periodically accompanies the military on deployments.
Travel: Travel is required.
* Combination of candidate's education and general experience satisfies requirements so long as the total years equate to description's minimum education and general experience years combined (Management experience cannot be substituted).
Physical Requirements: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this Job, the employee is regularly required to sit; use hands to handle or feel; and talk or hear. The employee is frequently required to reach with hands and arms. The employee is occasionally required to stand; walk and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 15 pounds and occasionally lift and/or move up to 30 pounds.. The work environment will consist of moderate noise (i.e. business office with computers, phones and printers, light traffic). The employee must have the ability to work in a small cubicle and have the ability to sit at a computer terminal for an extended period of time.
DISCLAIMER: The above statements are intended to describe the general nature and level of work being performed by individuals assigned to this position. They are not intended to be construed as an exhaustive list of responsibilities, duties and skills required of personnel so classified.
WHAT WILL GIVE YOU THE COMPETITIVE EDGE (Preferred Qualifications):
Relationship building .
Networking.
Increase programs.
Experience with the military is required.
Experience with volunteer workforce.
Management experience.
Computer savvy.
Outgoing personality.
Public speaking.
BENEFITS FOR YOU:
We take care of you, while you take care of others. As a mission-based organization, we believe our team needs great support to do great work. Our comprehensive benefits help you in balancing home and work. With our resources and perks, you have amazing possibilities at the American Red Cross to advance the learn.
* Medical, Dental Vision plans
* Health Spending Accounts & Flexible Spending Accounts
* PTO Holidays
* 401K with 5% match
* Paid Family Leave
* Employee Assistance
* Disability and Insurance: Short Long Term
* Service Awards and recognition
Apply now! Joining our team will provide you with the opportunity to make a difference every day.The American Red Cross is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.
Interested in Volunteering?
Life's emergencies don't stop, and neither do American Red Cross volunteers, who represent more than 90 percent of our workforce to help prevent and alleviate human suffering. You can make a difference by volunteering in a position that appeals to you and allows you to use your unique skills and talents. The Red Cross relies on generous volunteers who give their time and talent to help fulfill our lifesaving mission.
Visit to learn more, including our most-needed volunteer positions.
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