- CVS Health (Columbus, OH)
- …terms and conditions. + Controls the development and expansion of the company's provider network by evaluating potential network providers, negotiating ... + Guides management for individual performance evaluations aimed to provide critical feedback for skills development and depth of...A minimum of 10 years professional work experience in provider network management. + A minimum of… more
- PSKW LLC dba ConnectiveRx LLC (Whippany, NJ)
- …promoting all A&A product offerings the expand grow and diversify revenue within existing network clients. Lead and develop Director , Network Strategy ... Overview The Sr. Director , Network and Product Strategy, is...channels to enhance the company's competitive position. Responsibilities + Lead A&A network team to define scalable… more
- Elevance Health (Wallingford, CT)
- ** Provider Network Management Director ** **Location:** Alternate locations may be considered. This position will work a hybrid model (remote and office). ... an Elevance Health location. Join our team as a ** Provider Network Management Director ** ,...lead contractors for large scale, multi-faceted negotiations to provide data, insight and expertise. + Serves as business… more
- Elevance Health (Tampa, FL)
- ** Provider Network Management Director ** _Location: Alternate locations may be considered. This position will work a hybrid model (1-2 days/week in office). ... of one of our Elevance Health PulsePoint locations._ The ** Provider Network Management Director ** is...projects with significant impact. + May assist management in network development planning. + May provide work… more
- The Cigna Group (Scottsdale, AZ)
- …Travel to in-person meetings with Providers AND several days work at Home_** The ** Director , Provider Contracting Network Management** serves as an integral ... member of the Provider Contracting Team and reports to the AVP of...and management of the day to day contracting and network management activities for a local given territory. **DUTIES… more
- AmeriHealth Caritas (Manchester, NH)
- …and other administrative services. Discover more about us at www.amerihealthcaritas.com . The Director of Provider Network Management will develop and manage ... policies are consistent with claim payment methodologies - Maintain provider network adequacy standards to meet the...to meet the healthcare needs of Plan members - Lead recruitment activities and oversee recruitment efforts of staff… more
- St. Luke's University Health Network (Allentown, PA)
- …of a patient's ability to pay for health care. The Director of Network Value Analysis will lead the Value Analysis Committee (VAC) functions with the ... 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
- Humana (Springfield, IL)
- …caring community and help us put health first** Humana Gold Plus Integrated is seeking a Director of Provider Services to lead a team that is accountable for ... for provider relations and training, claims education, provider engagement, and practice transformation. The Director ...services model and execute on strategic initiatives within the provider network . + Represent Humana at meetings… more
- Elevance Health (Independence, OH)
- …will be responsible for spearheading the development and maintenance of the LTSS provider network , ensuring robust network demographics, and leading the ... overall network 's effectiveness (internal company title is ** Director Network Relations** ) **How will you...implements strategic business plan for all aspects of PN ( Provider Network ) Operations. + Ensures the LTSS… more
- Lumeris (MA)
- …for our next-generation AI products designed to transform referral management and optimize provider network performance. You will lead a talented team, ... and we're looking for a visionary and customer-centric Sr. Director of Product Management to lead the...operations, with specific expertise in referral management processes and provider network management strategies, coupled with your… more