- Elevance Health (Woburn, MA)
- Provider Network Management Director (JR136035) **Location** **:** Must reside in New Hampshire or outlying state and requires residence within 50 miles ... the Manchester, NH office. Monday and Tuesdays preferred. The ** Provider Network Management Director...significant impact. + May assist management in network development planning. + May provide work… more
- CVS Health (Raleigh, NC)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director , Network Management - Medicaid/North Carolina is accountable ... accordance with company standards in order to maintain and enhance Medicaid provider networks, while working cross functionally to ensure consistency with all… more
- CVS Health (Springfield, IL)
- …record negotiating contracts which includes experience within Network Medicaid management . Proven working knowledge of provider financial issues and ... Promotes collaboration with internal partners. Evaluates, helps formulate, and implements the provider network strategic plans to achieve contracting targets and… more
- CVS Health (Albany, NY)
- …convenient and affordable. **Position Summary** Provides strategic leadership and oversight for network management and provider relations. Develops and ... relationships. **WHAT YOU WILL DO:** . Oversees key Network Management contracting activities, including negotiating fee.... Controls the development and expansion of the company's provider network by evaluating potential network… more
- CVS Health (Carson City, NV)
- …health care more personal, convenient and affordable. **Position Summary** The Lead Director of value based contracting and business development is responsible for ... mountain and Arizona markets. The position reports directly to the market Chief Network Officer, however has a matrix reporting relationship into the Mountain and… more
- The Cigna Group (Independence, OH)
- …reside in the Cleveland or Independence, OH area.** 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...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Director of Network Value Analysis will lead the Value Analysis Committee (VAC) ... purchased Services initiatives utilizing the value analysis process. The Director will provide direction to all Value... direction to all Value Analysis teams across the Network , including acute care, physician group, ambulatory sites, and… more
- Essentia Health (Duluth, MN)
- …strategic initiatives **Licensure/Certification Qualifications:** N/A **Job Summary:** The Senior Director of Provider Compensation is responsible for providing ... administer provider compensation strategies, models, and programs. The Sr. Director will develop compensation plans and incentives, direct the preparation of… more
- The Cigna Group (Glendale, CA)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **_L_** **_OCATION:_** **_HYBRID_** **_position aligned to the Glendale, CA market._** The ** Director ,** ** Provider Contracting** serves as an integral member of… more
- WellLife Network (Lake Success, NY)
- Director of Revenue Cycle Management - FIN028 - Mon-Fri 9AM-5PM Job Details Job Location Corporate Office (Main Office) - Lake Success, NY Position Type ... has the opportunity to thrive and realize their fullest potential. Position Summary:The Director of Revenue Cycle position at WellLife Network is a leadership… more
- LifePoint Health (Brentwood, TN)
- * Director , Provider Payment Analytics and Processing* *Who we are:* At Lifepoint Health, we provide quality healthcare to rural communities. As a valued ... create environments where employees find purpose and fulfillment. *What you'll do:* As a* Director , Provider Payment Analytics and Processing*, youwill play a key… more
- City of New York (New York, NY)
- …with broad-based experience in building capacity among non-profit, community-based agencies. The Director of Provider Capacity Building & Training (PCB&T) will ... client database system. Reporting directly to the Assistant Commissioner of Change Management , the duties and responsibilities of the Director , include but… more
- CVS Health (Blue Bell, PA)
- …solutions to make health care more personal, convenient and affordable. The Lead Director , Provider Data Governance will develop, enhance, and refine the ... all provider information is accurately recorded and maintained to provide for proper reimbursement and member access (eg, directory listings). Aligns policies… more
- CVS Health (Woonsocket, RI)
- …to make health care more personal, convenient and affordable. The **Lead Director ,** **Medicaid Provider Experience Standardization** is responsible for ensuring ... and process improvement skills, with a deep understanding of Medicaid network , credentialing and provider data processes. **Key Responsibilities** Leading… more
- Humana (Atlanta, GA)
- **Become a part of our caring community and help us put health first** The Director , Provider Contracting, leads and manages the provider networks for all of ... contracts and agreements for the organization; including value-based arrangements directly with provider groups and integrated systems. The Director , Provider… more
- Stanford Health Care (Palo Alto, CA)
- …delivering evidence-based and patient-centered care. We are seeking a results-driven director to further develop the framework for clinical, operational, and ... coaching, and mentoring would further develop our robust, post-acute care community network . Are you driven by health care innovation, partnerships, and measurable… more
- Molina Healthcare (Port Arthur, TX)
- …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
- Johns Hopkins University (Baltimore, MD)
- …and marketing goals, channels, and best practices. + Work with the FLI Network Director to develop an overall assessment plan for communication and ... annual budget process. + In consultation with the FLI Network Director , develop a budget for FLI...Manage and implement the communications budget for the FLI Network . + Provide updates and reports on… more
- Harvard University (Cambridge, MA)
- …in support of daily operational work as well as project deliverables + Provide network technology leadership, vision, and solutions that address business needs, ... V Department Office Location:USA - MA - Boston Business Title: Director , Network EngineeringSub-Unit: Salary Grade (https://hr.harvard.edu/salary-ranges#ranges) :059Time… more
- VNS Health (Manhattan, NY)
- … management strategies.* Collaborates with Health Plans leadership to identify network and provider management opportunities that support achievement ... (MCR). This includes the development and execution of plans for expansion of provider network opportunities as well as maintaining existing networks. Works under… more