- Commonwealth Care Alliance (Boston, MA)
- …of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network , with a focus on ... determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality … more
- Gilead Sciences, Inc. (Parsippany, NJ)
- …to the Gilead's contract organization global network . As a Director, External Quality Strategy & Operations at Gilead you will + The successful candidate ... the Associate Director/Director level to lead a team of Quality Professionals to drive strategy development and...Quality System module to Gilead's contract organization global network . + Key representative for Gilead's Quality … more
- Health Care Service Corporation (Tulsa, OK)
- …**Job Summary** This position is responsible for value-based care and new network strategy and development activities at an advanced consultative level ... profitability. Responsible for the identification, evaluation and development of innovative network / care management solutions; direction and expansion of value… more
- Bon Secours Mercy Health (Richmond, VA)
- …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... of Position** In collaboration with Market President, the Physician and Provider Relationship Manager is responsible for incremental improvement of in- network… more
- Highmark Health (Pittsburgh, PA)
- … provider inventive and payment strategy . The role also leads the strategy and creation of provider network designs and programs. The incumbent ... Responsible for creating on a holistic incentive and payment strategy , including RPM, STARS, and Quality programs....+ Develop and maintain HPN network design strategy , translating product / segment needs to provider… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network ... Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment....methodologies and provider engagement strategies + Advise Provider Strategy & Solutions (PS&S) leadership and… more
- AmeriHealth Caritas (Charleston, SC)
- …and communication.; + Responsible for assisting in the development and execution of annual provider network strategy to include network adequacy ... for staffing decisions and managing the day-to-day activities of the Account Executives, Quality Practice Advisors and Provider Network Coordinators.; +… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... and management of the day to day contracting and network management activities for a local given territory. **DUTIES...and manages initiatives that improve total medical cost and quality . + Drives change with external provider … more
- AmeriHealth Caritas (Southfield, MI)
- …executive leadership. **Responsibilities:** + Leads comprehensive provider contracting strategy to achieve cost-efficient and high-performing network + Lead ... provider related aspects of state contract. + Leads and manages provider network team to ensure high performance, accountability, empowerment & engagement.… more
- Humana (Montgomery, AL)
- …of strategic plans, business outcomes, which align with the Segment or Business strategy . The Regional VP, Provider Network Performance is responsible ... and help us put health first** The Regional VP, Provider Network Performance, establishes long-range goals, objectives,...leaders and their respective functions with a focus on Provider Engagement, Quality and Medicare Risk Adjustment.… more
- The Cigna Group (Bloomfield, CT)
- **Job Overview:** This role is responsible for driving the Clinical Quality data acquisition strategy and data product support within the Enterprise Quality ... and complete clinical data, this role is essential to translate strategic quality goals into actionable partnerships with external provider organizations. It… more
- DoorDash (Chicago, IL)
- … and efficiency. About the Role The Senior Manager, Dasher & Logistics - Drive Network Strategy will own the design and expansion of DashLink's network ... and Australia. The Fulfillment team is responsible for driving the strategy , profitability, and operations across each vertical. In this fast-growing, high-energy… more
- Capital One (Mclean, VA)
- Business Manager, Global Payment Network - Market & Client Strategy **Summary:** As a Business Manager at Capital One, you will apply your strategic and ... product strategy alignment between Product and the payment services network + Execution: Manage and sequence delivery of business intent, build business… more
- Comcast (Philadelphia, PA)
- …Media Companies, Telcos, Advertising Agencies, and Technology Providers. Our solutions combine the quality and scale of our network with the dynamic flexibility ... and technology company. From the connectivity and platforms we provide , to the content and experiences we create, we...**What You'll Do:** + Develop and lead the sales strategy for network distribution, peering, and voice… more
- Molina Healthcare (Rochester, NY)
- **Job Description** **Job Summary** Sr. Analyst, Network Strategy , Pricing & Analytics guides the investment of our network partners through contract ... plans on the financial impact. + Work independently to support and validate Provider Network contracting and unit cost management activities through financial… more
- Molina Healthcare (NM)
- **Job Description** **Job Summary** Sr. Analyst, Network Strategy , Pricing & Analytics guides the investment of our network partners through contract ... plans on the financial impact. * Work independently to support and validate Provider Network contracting and unit cost management activities through financial… more
- Oracle (Jackson, MS)
- …to drive adoption and utilization of the Oracle Population Health suite. o Provide expert guidance on population health strategy , helping clients optimize ... people just as dedicated as we are to improving health equity and delivering quality care across the globe. If you're excited about making healthcare more human,… more
- Centene Corporation (Jefferson City, MO)
- …markets + Monitor performance, develop, and implement business solutions to address process and quality gaps, and communicate network strategy and planning + ... leader on the team responsible for building, contracting, and managing the provider network for Ambetter Health Solutions - Centene's ICHRA focused role. This… more
- Commonwealth Care Alliance (Boston, MA)
- …operations, utilization management, and quality programs as they relate to provider satisfaction and network performance. * Experience with change management ... quality , compliance, medical management, and analytics teams to advance provider network operations, education, and performance improvement. The Provider… more
- Elevance Health (Chicago, IL)
- … quality , accessible and comprehensive service to the company's provider community while leveraging data-driven insights to drive improved Payment Integrity ... quality -of-service delivery. + Research issues that may impact future provider contract negotiations or jeopardize network retention. **Minimum… more