- HCA Healthcare (Salt Lake City, UT)
- …**_Note: Eligibility for benefits may vary by location._** We are seeking a(an) Director Network Management for our team to ensure that ... Guide onboarding and integration of new practices into the network . + Promote provider engagement in ...opportunity compelling, we encourage you to apply for our Director Network Management opening. We… more
- Capital One (Mclean, VA)
- Director , Product Management , DevX - Network Observability ** Director , Product Management (PXDP60)** Product Management at Capital One is a ... foundational infrastructure, serving the hyper-connected digital business, is the Network . As a Product Leader for Network ...be regularly worked. Chicago, IL: $209,500 - $239,100 for Director , Product Management McLean, VA: $230,400 -… more
- Manulife (Boston, MA)
- …care providers to our customers when they need it. The Director , Provider Network Development & Relationship Management , is responsible for leading ... Public Policy, or related field preferred + 8 -15+ years in provider network management , healthcare contracting, or payer strategy roles + Familiarity… more
- Molina Healthcare (Spokane, WA)
- …years experience Managed Care industry experience - Medicaid, Medicare, Marketplace. Network Management and Public Policy New Program implementation experience ... **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of… more
- Corewell Health (Grand Rapids, MI)
- …+ Preferred Master's Degree (MBA, MHA, MHP) + 5 years of relevant experience within provider network management , health care insurance or other health care ... costs, cost-savings opportunities, best practices, provider performance issues, provider compensation and network expansion. + Support market specific… more
- CVS Health (Hartford, CT)
- …forecasts, and long-term strategic planning. The Executive Director will oversee network management and provider relations, while also crafting a ... improve access to care. Aetna is seeking an Executive Director to lead the First Health business with full...compliance with regulatory requirements and accreditation standards related to provider network management . + Communicating… more
- Molina Healthcare (MA)
- …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
- Commonwealth Care Alliance (Boston, MA)
- …quality, compliance, medical management , and analytics teams to advance provider network operations, education, and performance improvement. The Provider ... have): * 8-10 years of progressively responsible experience in provider relations, network management , or...of experience in provider relations, contracting, or network operations, including 3-5 years in a director… more
- The Cigna Group (Columbus, OH)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director ** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- Modivcare (AR)
- …and maintaining a compliant, effective, and efficient transportation provider network within assigned markets. The Director will oversee all programs ... fit for you! Modivcare is looking for an experienced Director - Provider Relations to join our...+ Ability to lead development, execution, and deployment of provider network initiatives. + Strong organizational planning… more
- Humana (Indianapolis, IN)
- …+ 5+ years of experience in healthcare operations, finance, medical economics and/or provider network management + 3+ years of experience HEDIS/Stars ... part of our caring community and help us put health first** The Director , Provider Engagement develops and grows positive, long-term relationships with… more
- Humana (Austin, TX)
- …a part of our caring community and help us put health first** The Director , Provider Contracting serves as a strategic leader overseeing contracting activities ... their work, setting clear objectives, and supporting professional growth and performance management . The Director is responsible for developing and executing… more
- Highmark Health (Pittsburgh, PA)
- …field **EXPERIENCE** **_Minimum:_** + 7 - 10 years' experience in managed care network development and provider relations/contracting management in a ... business network strategy (government, commercial, etc.). Leads all aspects of provider network strategy including, but not limited to: discounts analysis,… more
- Datavant (Topeka, KS)
- …our bold vision for healthcare. **What We're Looking For** We are seeking an experienced Director of Risk Bearing Provider Sales to lead our efforts in selling ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...Management ** + Establish and maintain executive-level relationships with provider clients and prospects. + Serve as a trusted… more
- Highmark Health (Camp Hill, PA)
- …PHOs, physicians, intermediate care providers). Directs financial analyses of the provider 's payment history, develops approaches to manage the payout consistent ... methodologies used to reimburse institutional and professional providers. Implements network contract and reimbursement initiatives as indicated by enterprise and… more
- Rubrik (Santa Fe, NM)
- …and closing sales opportunities + Co-sell and strategize with MSP partners + Provide Rubrik, Inc. management with feedback about the local market opportunity ... business is one of Rubrik's fastest growing segments. The Director of Americas MSP will be a highly visible...Theater. Your responsibilities will cover all aspects of program management for the Service Delivery Partnership Program business in… more
- Point32Health (Canton, MA)
- …key stakeholders. Participate in/chair leadership meetings concerning provider strategy, network development and other issues. Talent Management and Team ... strategic providers to support achievement of shared plan and provider objectives. The Director is member of...Responsibilities/Duties - what you will be doing (top five): Provider Network Strategy and Development + Develop… more
- EAC Network (New York, NY)
- …Clinical Director to join the Manhattan Community Re-Entry Assistance Network (CRAN) Program. + Salary: $100,000-123,188 per year + Schedule: Monday- Friday: ... and psychological evaluations and testing for clients referred to the Assistance Network Services and Community Transitional Case Management teams when needed.… more
- TEKsystems (Greenville, NC)
- …Top prioritizes for this Director will include ACI, Call Center Management NAC, SD-WAN, MDM, a NOC, and network /telecom hardware refreshes. They ... **Must come from a larger provider space** **Wil need to be willing to...architecture, telecommunication Top Skills Details Network operations,Infrastructure management ,aci,sd-wan Additional Skills & Qualifications The Director … more
- WMCHealth (Valhalla, NY)
- Network Director , Advanced Clinical Recruitment Company: NorthEast Provider Solutions Inc. City/State: Valhalla, NY Category: Executive/ Management ... (https://pm.healthcaresource.com/cs/wmc1/#/preApply/31079) Internal Applicant link Job Details: Job Summary: The Network Director of Advanced Clinical Recruitment providers… more