Provider Utilization Mgmt Rep Sr

Are you experienced in the Medical Industry looking to use your talents to make a difference?

Leidos QTC Health Services is seeking a Provider Utilization Management Rep Sr for our ever-growing team. 

Leidos QTC Health Services is the nation’s largest provider of disability and occupational health examination services. We are PASSIONATE about our country’s veterans, UNITED as a team and INSPIRED to make a difference.

Our goal is to provide high-quality, timely, and customer-focused medical examination service solutions. We honor our core values of integrity, innovation, agility, collaboration, inclusion and commitment. We celebrate diverse thinking and welcome contributions from all.

In this rewarding role, you will:

• Interfaces daily with the utilization team to ensure effective management of:
1. Provider capacity requirements by specialty and location
2. Recruiting efforts and pipeline analysis
3. On-boarding/credentialing and orientation efforts
4. Training and mentoring
5. Utilization and provider customer service
• Gather and analyze data regarding provider utilization and make recommendations to team members for improving utilization presence at monthly utilization meetings with the utilization team
• Provider Utilization Management experience desired
• Conduct utilization meetings to identify providers to be acknowledged for superior performance as well as providers that may be struggling from either a quality or timeliness perspective
• Incorporate provider loyalty programs to improve overall provider network

You must have:

• Bachelor’s degree from an accredited college in a related discipline, or equivalent experience/combined
  education
• 4 to 7 years of relevant professional experience
• A demonstrated ability to work independently, take initiative and be self-motivated
• An ability to effectively manage competing priorities with a sense of urgency
• Demonstrated excellent organizational and follow up skills, with a strong attention to detail
• Demonstrated proficiency in Windows operating system and Microsoft Office programs and Microsoft SharePoint; excellence with Microsoft Excel (ability to create Pivot tables and V-Lookups) and experience with Tableau software
• Knowledge/experience with provider or healthcare management preferred

Pay and Benefits 

Salary: $79,000- $88,000 (pay varies based off location) with up to 8% bonus eligibility.

The Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law

Pay and benefits are fundamental to any career decision. That's why we craft compensation packages that reflect the importance of the work we do for our customers. As a result, we offer meaningful and engaging careers to support you and your career goals, all while nurturing a healthy work-life balance. Employment benefits include competitive compensation, Health and Wellness programs, Income Protection, Paid Leave and Retirement. More details are available here: Join Our Team | Jobs & Career Opportunities | Leidos QTC Health Services (qtcm.com)

The Leidos QTC Health Services pay range for this job level is a general guideline only and not a guarantee of compensation or salary. Additional factors considered in extending an offer include (but are not limited to): geographic location, responsibilities of the job, education, experience, knowledge, skills, and abilities, as well as internal equity, alignment with market data, applicable bargaining agreement (if any), or other law.

Leidos QTC Health Services. is a VEVRAA Federal contractor and an Equal Opportunity Employer. The company has an ongoing commitment to affirmative action and the creation of a workplace free of discrimination, harassment and retaliation. The company recruits, hires, trains, and promotes individuals in all job titles without regard to race, color, creed, religion, ancestry, national origin, age, sex, pregnancy, sexual orientation, gender identity, genetic information, people with disabilities protected under law, and protected veteran status.

* This job description supersedes all prior job descriptions and is intended to describe the general content and essential requirements for the position listed above. It is not to be construed as an exhaustive statement of requirements, duties and responsibilities. Management reserves the right to add or change the duties of this position as required at any time.

Behaviors

• Leader: Inspires teammates to follow them
• Innovative: Consistently introduces new ideas and demonstrates original thinking
• Functional Expert: Considered a thought leader on a subject
• Team Player: Works well as a member of a group
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Motivations

• Self-Starter: Inspired to perform without outside help
• Goal Completion: Inspired to perform well by the completion of tasks
• Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
• Ability to Make an Impact: Inspired to perform well by the ability to contribute to the success of a project or the organization

Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities

The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)