Network Operations Director manages the daily operations of the organization's network infrastructure, including hardware, software, security, and services, to ensure it meets the organization's performance objectives. Implements policies and procedures that ensure compliance with industry standards and regulations, minimize downtime, and support efficient operations. Being a Network Operations Director provides network administrators and technicians with training in the best practices and technologies. Ensures logging and documentation of daily network operations incidents and changes. Additionally, Network Operations Director leads troubleshooting and resolution of routine network issues and conducts root cause analysis (RCA) to prevent recurrences and identify potential technological, training, or process improvements. Automates routine tasks using scripting or basic programs. Advises on budget expenditures to ensure required tools and equipment are procured and maintained. Requires a bachelor's degree in engineering or it. Typically reports to a director. The Network Operations Director typically manages through subordinate managers and professionals in larger groups of moderate complexity. Provides input to strategic decisions that affect the functional area of responsibility. May give input into developing the budget. To be a Network Operations Director typically requires 3+ years of managerial experience. Capable of resolving escalated issues arising from operations and requiring coordination with other departments. (Copyright 2024 Salary.com)
Job Summary:
The Network Operations Specialist assists in developing and executing the strategy and performance of the provider network and network outcomes. This is a collaborative role requiring critical thinking skills, independence, leadership, a strategic mindset, and attention to detail.
Duties/Responsibilities:
· Responsible for credentialing, recredentialing and health plan enrollment of all network providers
· Performs primary source verification for initial credentialing and recredentialing
· Maintains credentialing and provider enrollment database and files, including supporting documentation
· Works closely with clinical staff to obtain data, documents, and signatures, as needed, in a timely manner
· Tracks and performs follow through with insurance plans until provider enrollment is complete and provider is in-network with the plan and linked to QMC
· Troubleshoots provider issues related to enrollment and insurance plan credentialing
· Uses credentialing and provider enrollment software and other computer programs, as applicable, effectively
· Tracks expirables and updates documentation in a timely manner.
· Remains current on all regulatory changes in the acute and post-acute care environment.
· Performs other duties and responsibilities as required, assigned, or requested.
Required Skills/Abilities:
· Ability to maintain effective interpersonal relationships
· Ability to communicate effectively in both oral and written form
· Skilled in completing assignments accurately and with attention to detail
· Ability to independently plan, organize and prioritize work.
Education and Experience:
· Bachelor’s degree in health services administration or related field preferred
· Minimum 3 years of relevant experience in health plan enrollment and/or hospital credentialing
· Experience and proficiency with general computer software (Word, Excel, PowerPoint, PDF, Outlook)
Physical Requirements:
· Prolonged periods of sitting at a desk.
· Must be able to lift up to 15 pounds at times.
0 Network Operations Director jobs found in Miami, FL area