- CVS Health (Columbus, OH)
- …day. Aetna has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Ohio and Kentucky markets for ... IFP, and Medicaid businesses. In this role, you will provide leadership, guidance, and oversight for a team of...given market or geographical area. You will oversee all network management functions including provider … more
- CVS Health (New York, NY)
- …Aetna has an exciting opportunity to join its leadership team as an Executive Director , Network Management in the Downstate NY Market, which includes ... management of the day to day contracting and network management activities in Downstate New York...segment needs. + Build and optimize community-based partnerships. + Provide network strategy support to Client/Market teams.… more
- CVS Health (Santa Ana, CA)
- …make health care more personal, convenient and affordable. Position Summary The Lead Director , Network Management negotiates, executes, conducts high level ... maintenance, and refinement activities and strategies in support of cross-market network management unit.Assists with the design, development, management… more
- The Cigna Group (Seattle, WA)
- LOCATION: This position supports the Seattle, WA market. The ** Director , Provider Network Management ** serves as an integral member of the Provider ... Team and reports to the Assistant Vice President of Provider Contracting. This role assists in developing the strategic...management of the day to day contracting and network management activities for a local given… more
- CVS Health (Harrisburg, PA)
- …contracts to ensure requirements. + Evaluates, helps formulate, and implements the provider network strategic plans to achieve value-based contracting targets ... and internal provider relations representatives to ensure successful Provider Relations, and Network Performance including Clinical and Affordability… more
- CVS Health (Austin, TX)
- …Promotes collaboration with internal partners. Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and ... saving initiatives and/or settlement activities. Assists with the design, development, management , and or implementation of strategic network configurations and… more
- CVS Health (Irving, TX)
- …make health care more personal, convenient and affordable. Position Summary The Lead Director , Network Management (Texas) is accountable for designing ... accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
- Prime Healthcare (Ontario, CA)
- …licensure. Connect With Us! (https://careers-primehealthcare.icims.com/jobs/153822/ director -of- network -development-and- provider ... contact Human Resources. Know Your Rights: https://www.eeoc.gov/sites/default/files/2022-10/EEOC\_KnowYourRights\_screen\_reader\_10\_20.pdf Responsibilities The Director of Network Development and Provider… more
- PeaceHealth (Longview, WA)
- …health clinicians integrated throughout the Columbia Network .** **The Medical Director is an administrative management position, working closely with the ... Behavioral Health department is seeking an experienced Psychiatrist for the Columbia Network Medical Director practice opportunity. This role will be clinical… more
- DISH Network (Littleton, CO)
- …Mobile, DISH Wireless, OnTech and GenMobile. **Department Summary** Reporting to the VP, Network Engineering, the Director , Network Engineering will be ... develop, implement and support our cutting-edge 5G technology. This leader will oversee network and security management , emergency response, and the design and… more
- Modivcare (Edison, NJ)
- …Provider Relations Director to help establish compliance for the Transportation Provider Network within their assigned market. You will ensure ongoing ... network health. You will be responsible for the management and successful leadership of all programs across your...all Provider Relations Managers/Coordinators. Reporting to the Network Regional Director , you will manage the… more
- CVS Health (Hartford, CT)
- …to make health care more personal, convenient and affordable. Position Summary: The Lead Director will be part of the Aetna Network organization and have ... functionally with Compliance, Legal, local Medicaid Health Plans, Medicaid Network Contracting and Medicaid Provider Relations, and... Relations, and other departments to maintain compliance of provider related tasks. The Lead Director may… more
- Stanford Health Care (Emeryville, CA)
- …serves. **This is a Stanford Health Care job.** **A Brief Overview** The Senior Director of Cancer DSL Network Quality provides overall leadership and direction ... Health Care also stands tall as a leading healthcare provider in California, sharing the No. 1 position in...Network , working under the direction of the Executive Director of the Cancer DSL and in a matrixed… more
- American Red Cross (VA)
- …Red Cross, your uniqueness can shine! WHAT YOU NEED TO KNOW The Director , Product Development Healthcare and Professional Provider Programs reports to and ... and external partners/consultants throughout the product development process. The Director , Product Development Healthcare and Professional Provider Programs… more
- The Cigna Group (Birmingham, AL)
- …Alabama/Mississippi Market. Must live in either Alabama or Mississippi._** The **Manager, Provider Contract Network Management ** serves as an integral ... Provider Contracting Team and reports to the Provider Contracting Director . This role assists in...management of the day to day contracting and network management activities for a local given… more
- Somatus (Cleveland, OH)
- …improvement strategies. + Provide strategic guidance and support for Somatus' provider network . + Develop provider quality and financial incentives ... in the Great Lakes region-Ohio, IN, or KY.** The Director , Provider Engagement is a critical member...clinical managers to support care team objectives related to network goals. . Develop of provider scorecards… more
- Centene Corporation (Topeka, KS)
- …health care experience; Master's degree preferred. Seven to nine years extensive provider network management /health care management experience. ... a fresh perspective on workplace flexibility. **Position Purpose:** The Director Provider Relations develops and implements ...and education as needed. + Oversees monitoring of SHP provider network database for accuracy and timeliness;… more
- Colorado State University (Fort Collins, CO)
- …Unit Medical Services The Director of Medical Services at the CSU Health Network provides acute and chronic care to CSU students by appointments and on a walk-in ... Position Summary As a member of the CSU Health Network , the Director of Medical Services provides...and responsible fiscal management + Integrated case management with adjacent CSU Health Network services… more
- Bristol Myers Squibb (Princeton, NJ)
- …innovation. + Responsible for the direct management of the network operations team and service provider including results/outcomes, goal-setting, performance ... We are seeking a highly skilled and experienced Sr. Director of Network Operations to oversee and... management , coaching. + Provide leadership guidance on decisions related to team hiring,… more
- Molina Healthcare (Springfield, IL)
- …education, outreach and resolving provider inquiries. * In conjunction with the Director , Provider Network Management & Operations, develops health ... primary point of contact between Molina Healthcare and contracted provider network . In partnership with Director..., corporate, and staff to develop and implement standardized provider servicing and relationship management plans. **Job… more