Hiring: Supervisor, Provider Network Management Company: TriWest Healthcare Alliance Location: Phoenix, AZ Job Posted Time: 2026-09-10 11:57:02 Employment Type: Contract / Remote Target Skills & Keywords : CSS, Credentialing, Medicare, Microsoft Excel, Phoenix, Regulatory Compliance About the job Experience: •If supporting TRICARE contract, must be a U.S. Citizen •If supporting TRICARE contract, must be able to receive a favorable Interim and adjudicated final Department of Defense (DoD) background investigation •Minimum of two (2) years supervisory/management experience or demonstrated leadership skills •Solid functional working knowledge of TRICARE and/or VA Community Care Network (CCN) provider programs, including provider contracting, claims, and reimbursement policies •Three (3) years' experience in provider relations, provider contracting, or healthcare operations Required Skills: •Supervises daily operations and staff for all respective functions, including maintenance and annual review of the policies and procedures. •Train, coach, and oversee the CSS team in all aspects of the role, including conducting team meetings. Monitor individual and team adherence to service level agreements and quality standards. •Collaborate closely with leadership and other TriWest departments to resolve cross-functional issues, identify process improvements, and escalate unresolved systemic issues to management. •Maintains relationships with Network Subcontractors in state/market of operations. •Establish and maintain positive working relationships with internal stakeholders and external network providers, responding to provider inquiries with professionalism, empathy, and accuracy. •Support and manage the maintenance of accurate provider contact records in the Provider Services data systems, ensuring data integrity and compliance with documentation standards. •Develop job aids, work instructions, processes, and procedures to support CSS consistency and onboarding of new staff. •Monitor team production, quality, attendance, and adherence to contractual response times. Produce regular reports and dashboards for the Manager, Provider Network Management summarizing team performance against established metrics. Qualifications: •Solid functional working knowledge of the credentialing process and regulatory compliance standards such as URAC and JCAHO Compensation: •$64,000 - $75,000 / year •Medical, Dental and Vision Coverage Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!