- CVS Health (Sacramento, CA)
- …And we do it all with heart, each and every day. + The Lead Director , Network Management negotiates, executes, conducts high level review and analysis, ... maintenance, and refinement activities and strategies in support of cross-market network management unit.Assists with the design, development, management… more
- Scripps Health (San Diego, CA)
- …in your specific field as well as in your overall. *About the Role:* * As Director , Provider Network Management , you will be responsible for creating ... and Epic Tapestry **Job:** **Ops Admin* **Organization:** **Scripps Health Corp* **Title:** * Director , Provider Network Management * **Location:**… more
- AmeriHealth Caritas (Manchester, NH)
- …services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage all hospital, ... Develop and implement strategic plans for hospital and physician network development and management - Ensure compliance...policies are consistent with claim payment methodologies - Maintain provider network adequacy standards to meet the… more
- The Cigna Group (Scottsdale, AZ)
- …meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management ** serves as an integral member of ... management of the day to day contracting and network management activities for a local given...strategy in the market. + Builds relationships that nurture provider partnerships and seeks broader value-based business opportunities to… more
- American Express (New York, NY)
- …customers' evolving payment needs. **About the Role** This newly created role of Director , Enterprise Payments Network Management is an exciting opportunity ... uphold our company values and powerful backing promise to provide the world's best customer experience every day. And...and create safe and compliant enterprise payments services. The Director , Enterprise Payments Network Management … more
- Blue KC (Kansas City, MO)
- …adoption financial assistance** **Employee discount program** **Job Description Summary:** The Director , Contracting and Network Management is responsible ... our core values and commitment to your success, we provide health, financial and lifestyle benefits to ensure a...and network development efforts on behalf of Provider Services and Senior Management + Partner… more
- CVS Health (Arlington, TX)
- …location and commute to office.** **Requirements** + Responsible for out of network (cost management ) products, savings, revenue, financial results and ... effectively serve its customers. Responsible for the out of network product portfolio, market analysis, creative and new solutions,...commitments. + Works closely with sales, account management , and operations to resolve any problems and ensure… more
- Capital One (New York, NY)
- Director , Network Compliance (Advisory) The Network Compliance Director performs a key risk management role in the second line of defense for Capital ... While working within the Compliance Management Program framework, the Network Compliance Director is responsible for leading and delivering quality… more
- CVS Health (Richmond, VA)
- …area experience. **Required Qualifications** + A minimum of 10 years professional work experience in provider network management . + A minimum of 3 years in a ... for network management and contracting. Develops and implements network strategies, manages provider contracts and negotiations, leads dispute resolution… more
- EAC Network (New York, NY)
- Clinical Director - Community Re entry Assistance Network Manhattan CRAN Job Details Job Location 80 Centre Street Room 200C, NY, NY 10013 - New York, NY ... Director to join the Manhattan Community Re-Entry Assistance Network (CRAN) Program. Salary: $100,000-123,188/ Annually Schedule: Monday- Friday: 9AM-5PM… more
- Intermountain Health (Las Vegas, NV)
- …community, utilization management , care management , claims, network management , and finance. As the Medical Director for Utilization Management , ... toward quality improvement efforts. Serves as the chair of Quality Medical Management Committee (QMMC) and other designated committees defined by the organization.… more
- AmeriHealth Caritas (Newtown Square, PA)
- …team, including provider communications, training, and measurement. The Corporate Director , Network Strategy will collaborate with health plan/market and ... Discover more about us at www.amerihealthcaritas.com . The **Corporate Director , Network Strategy i** s responsible for...Network Strategy is tasked with developing and implementing provider network strategies based on advanced market… more
- AdventHealth (Maitland, FL)
- …of responsibility operate within allocated budget. * Implements financial strategies to provide effective fiscal management of provider compensation ... ** Provider Compensation Director - AdventHealth** **All...leads the development and implementation of strategic initiatives surrounding provider compensation for Primary Care Network (PCN).… more
- Capital One (New York, NY)
- Director , Network Compliance (Partner Oversight) The Network Compliance Director will perform a key risk management role in the second line of ... framework for the network compliance program. The Network Compliance Director is a critical member...at Capital One aligns with the broader enterprise risk management framework. Directors in Network Compliance at… more
- Community Health Network (Indianapolis, IN)
- Director Case Management (RN), North Job Ref 2503740 Category Nursing Job Family Case Manager Department Case Management Schedule Full-time Facility ... **_Hiring Bonus for Qualified RNs_** **Join Community** Community Health Network was created by our neighbors, for our neighbors....couldn't do it without you. **Make a Difference** The Director of Case Management is located at… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …Share on News Feed LocationUS-NJ-Whippany ID2025-2847 Category Product Management Position Type ... better than the sum of its parts. The Sr. Director , Network and Product Strategy, is an...large accounts with growth potential. + Work closely with Director , Product Management for A&A. In partnership,… more
- ADP (Alpharetta, GA)
- **ADP is hiring a Senior Director of Data Center Network Engineering** **Locations: Roseland NJ, Alpharetta GA** + _Are you empathetic to client needs and ... this may be the role for you! **The Sr. Director of Data Center Network Engineering and...**A little about ADP:** We are a comprehensive global provider of cloud-based human capital management (HCM)… more
- Lake Erie College of Osteopathic Medicine (Bradenton, FL)
- Assistant Director of Network Operations Overview Date Posted: 5/16/2025 Location: Bradenton Address: 5000 Lakewood Ranch Blvd. City: Bradenton State: FL ... Employment Status: Full-time Description JOB SUMMARY : The Assistant Director of Network Operations reports to the...Network Operations and IT policies and procedures; + Provide immediate problem resolution or escalation to the appropriate… more
- Banner Health (Phoenix, AZ)
- …Decision Making **Work Shift:** Day **Job Category:** Physicians The Senior Medical Director , Network Performance is a senior clinical executive responsible for ... leadership, enterprise collaboration, and credible clinical engagement, the Senior Medical Director will ensure Banner's network strategy consistently delivers… more
- Molina Healthcare (UT)
- …strategy and planning in the successful development of the provider network , including development, contracting and management of provider relationships ... in the successful development of the provider network including development, contracting and management of...provider network including development, contracting and management of provider relationships and communications *… more
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