- Elevance Health (Manchester, NH)
- 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
- Elevance Health (Ashburn, VA)
- ** Director Network Management - Carelon...CPA or MBA degree. + Network development, network management , and provider relations ... Networks in the East for Carelon Behavioral Health, this ** Director of Network Management ** oversees...This Director will lead a team of network managers and provider relation account managers… more
- CVS Health (Plantation, FL)
- …Aetna has an exciting opportunity to join its leadership team as an Executive Director , Network Management supporting our Florida market for our Commercial, ... 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
- 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
- American Express (New York, NY)
- …for the company through the products and services it regularly introduces to the Network . The Director , Partner Risk Management plays a critical role ... is seen, heard and feels like they belong. The Director , Partner Risk Management Program position is...Management Program position is part of the Global Network Services (GNS) business within the Global Merchant &… 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
- 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
- Dignity Health (Bakersfield, CA)
- …and procedures.) **Qualifications** **Minimum Qualifications:** - 5+ years of healthcare management , network development, and/or provider /payer contracting, ... in lieu of education. **Preferred Qualifications:** - 10+ years of healthcare management , network development, or provider /payer contracting, finance, or… 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
- The Cigna Group (San Diego, CA)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **_OCATION:_** **_HYBRID_** **_position aligned to the San Diego, CA market._** The ** Director ,** ** Provider Contracting** serves as an integral member of the… more
- Evolent (Columbus, OH)
- …through change in clinical operations processes + In depth knowledge of provider engagement, network management , performance improvement methodologies, ... the culture. **What You'll Be Doing:** **Job Description: National Provider Engagement Director ** **Who You Are** You...leaders, you will lead and execute strategies to improve provider network performance, enhance provider … more
- The Cigna Group (Bloomfield, CT)
- …candidate.** Ability to travel up to 25%.** **OVERVIEW:** The Medicare Advantage (MA) Provider Operations Senior Director is a senior leadership role within the ... & EGWP MAPD lines of business by directly overseeing Provider Data Management (ie Provider ... (ie Provider Demographics and Contract Configuration), Provider Directories, Provider Data Accuracy, Network… 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
- 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
- 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
- Access: Supports For Living (Middletown, NY)
- Provider Relations Director Location: Middletown, NY, United StatesDate Posted: Jan 21, 2025 Share: share to e-mail Apply Now Save JobSaved Description Location: ... hours weekly Salary: $70,000 to $75,000 Position Summary: The Provider Relations Director reports directly to the... Development & Collaboration: + Expand and strengthen the network of provider agencies to increase referral… 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
- Molina Healthcare (Long Beach, CA)
- …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
- Elevance Health (Woburn, MA)
- …analytical support for strategic initiatives, such as contract negotiations, provider network optimization, and total cost of care management . * Thoroughly ... ** Provider Economics Director ** **Location:** Alternate locations...analytics team to accomplish the company objectives through information management . This position is responsible for methodology development, financial… 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