- Elevance Health (Nashville, TN)
- ** Provider Network Management Director ** **Location:** This position will work a hybrid model (remote and office). Must reside within 50 miles/1 hour ... commute of our Nashville, TN office. 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
- Prime Therapeutics (Columbus, OH)
- …fuels our passion and drives every decision we make. **Job Posting Title** Sr. Director , Pharmacy Network Management - Remote **Job Description** The Senior ... Director of Network Management is responsible for creation and... to achieve Prime's objectives. + Collaborate with the Provider Relations team to provide direction in… 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 (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
- Molina Healthcare (TX)
- …to business and system requirements of internal customers as it pertains to other provider network management areas, such as provider contracts. ... **Job Description** **Job Summary** Provider Network Administration is responsible for...healthcare management experience. * Previous health plan provider network administration experience. **Preferred Education** Bachelor's… more
- Prime Healthcare (East Liverpool, OH)
- …and acts with a high degree of autonomy in the management of the provider network . The Director models behaviors congruent with the hospital's mission, ... and accountable for the overall performance, accessibility, and optimization of the organization's provider network . The Director is a member of the… 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 (Chattanooga, TN)
- …direction and management of the day to day contracting and network management activities for Chattanooga, Knoxville and TriCities. **DUTIES AND ... the East Tennessee market. Must reside within Chattanooga, Knoxville or TriCities.** The ** Director , Provider Contracting** serves as an integral member of the … 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
- 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
- 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
- Somatus (Cleveland, OH)
- …improvement strategies. + Provide strategic guidance and support for Somatus' provider network . + Develop provider quality and financial incentives ... in the Great Lakes region-Ohio, IN, or KY.** The Director , Provider Engagement is a critical member...clinical managers to support care team objectives related to network goals. . Develop of provider scorecards… more
- Elevance Health (Tampa, FL)
- …our Miami or Tampa, FL Elevance Health location. The ** Provider Collaboration Director -Cost of Care** is responsible for local management of all network ... ** Provider Collaboration Director - Cost of...**Preferred Skills, Capabilities and Experiences:** + Prior experience with provider network contracting, provider networks,… more
- Molina Healthcare (Starkville, MS)
- … and senior leadership/ management . * Communicates new strategies to corporate provider network leadership for input. * Utilize standardized system(s) to ... **Job Description** **Job Summary** Molina Health Plan Provider Network Contracting jobs are responsible...including VBP program templates. Works with Legal and Corporate Network Management as needed to modify contract… more
- Elevance Health (Tampa, FL)
- …Miami or Tampa, FL Elevance Health location. The ** Provider Collaboration Director -Value Based Care** is responsible for local management of Enhanced ... ** Provider Collaboration Director -Value Based Care** **Location:**...rates with providers strongly preferred. + Prior experience with provider network contracting, provider networks,… 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
- Educational Testing Service (Princeton, NJ)
- …hybrid network environments, integrating on-premises and public cloud networking. The Director will oversee a wide range of network areas, including ... and driving the organization towards its strategic goals. **PRIMARY RESPONSIBILITIES** + Provide strategic direction for network upgrades, projects, and all… more