- 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
- CVS Health (Charleston, WV)
- …in new and exciting ways every day. Aetna is recruiting for an **Executive Director , Network Management ** who provides strategic leadership and oversight for ... network management and provider relations within the **Keystone...plans to meet business goals and objectives. + Guiding management for individual performance evaluations aimed to provide… more
- Capital One (Chicago, IL)
- 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: $205,400 - $234,400 for Director , Product Management McLean, VA: $226,000 -… 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
- Sanford Health (Sioux Falls, SD)
- …- Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining ... Services and other applicable laws and regulations. Also oversees contract document management of templates and executed agreements. Oversees network adequacy to… more
- AmeriHealth Caritas (Charleston, SC)
- …the job is to be responsible for the oversight of the local Plan's Provider data, reimbursement rules, and address provider inquiries and complaints. In ... remediation plan for any non-complying areas + Ensure all Provider reimbursement (configuration) documentation is completed timely and accurately,...as a member of a team as well as provide day-to-day leadership to support staff + Perform other… 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 (St. Louis, MO)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **WORK LOCATION: St. Louis, MO** The ** Provider Contracting Director ** serves as an...partners including but not limited to, Claims Operations, Medical Management . Credentialing, Legal, Medical Economics, Compliance, Sales and Marketing… 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
- Datavant (Augusta, ME)
- …our bold vision for healthcare. **About the Role** We are seeking a **Senior Director of Product** to lead the ** Provider Experience Zone** -owning the strategy, ... is powered by the largest, most diverse health data network in the US, enabling data to be secure,...+ Define and communicate the long-term vision for the Provider Experience Zone, ensuring a unified, intuitive, and scalable… 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 (NH)
- …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
- 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
- Capital One (Riverwoods, IL)
- …seeking an energetic, self-motivated Risk Director to join the newly created Network Participant Risk Management (NPRM) Team within the Operational Risk ... and activities relative to Network Participants. As Director , you will also provide guidance to...provide guidance to first line business areas and Network Participant management on whether they are… more
- Magellan Health Services (Boise, ID)
- …of network resources in response to unmet needs, and adequacy of the provider network to provide member choice of providers, and contracting with ... This position is responsible for the development of the provider network , assuring network adequacy...8+ years managed healthcare experience. Significant experience in progressive network management and development. Knowledge of NCQA… more
- Stanford Health Care (Palo Alto, CA)
- …the nation's premier academic health systems? As the Director of Operations - Network Director , you will provide direction for Stanford's growing off ... Health Care and to the Bay Area community. The Director of Operations - Network Director...resolve complex problems and issues + Knowledge of project management process and systems + Ability to provide… more
- Johns Hopkins University (Baltimore, MD)
- …and to supply an anchor for faculty, staff, family, and alumni engagement efforts. The Director , FLI Network has a key role in leading these core functions ... and the communications team within Homewood Student Affairs. The director will oversee the FLI Network team...staff members, and support/develop all staff on the FLI Network team. + Provide mentorship, guidance, and… more
- Capital One (Mclean, VA)
- Senior Business Director - Network Surveillance Monitoring and Regulatory Strategy We are seeking a highly experienced strategic and execution-oriented Senior ... Director to lead our AML Network Surveillance...data science methodologies, risk management , and people management . The Senior Director will also be… more
- Houston Methodist (Houston, TX)
- …progression of care metrics. + Expands and standardizes the preferred post-acute provider network across the system. + Strengthens SDoH screening, intervention, ... At Houston Methodist, the Sr Director Case Management position is responsible...the system level to help enable clinical departments to provide high quality patient care. Houston Methodist is an… more
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