• Director, Provider Network Management

    Scripps Health (San Diego, CA)


    *This position is in San Diego and requires local residency.*

    *Eligible to participate in the Director Incentive Plan.*

     

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    Elevate your career with Scripps Health, where Compassion Meets Excellence. *

     

    Invest, Empower & Belong. At Scripps Health, your potential is limitless. We're more than a healthcare provider, at Scripps you will join a community where your views, beliefs and values are celebrated. Grow through industry-leading development programs and empower yourself to deliver innovative care. Be a part of an extraordinary team, impacting health in beautiful San Diego.

     

    *Why join Scripps Health?*

    */AWARD-WINNING WORKPLACE:/***

    At Scripps Health, your ambition is empowered, and your abilities are appreciated:

    * Nearly a quarter of our employees have been with Scripps Health for over 10 years.

    * Scripps is a Great Place to Work Certified company for 2025.

    * Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.

    * Beckers Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.

    * We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall.

    *About the Role:*

    • As Director, Provider Network Management, you will be responsible for creating and maintaining a comprehensive contracted provider network to serve SHPS members.

    • Oversee provider relations functions including training, problem solving and satisfaction for all medical groups, IPAs, institutional and ancillary providers.

    • Be responsible for Customer Service for both member and provider inquiries.

    • Maintain provider directories for all contracted IPAs and medical groups.

    • Scripps is an integrated delivery system.

    • Scripps Heath Plan is both an MSO and a KK licensed plans for commercial large group.

    • SHPS also assumes pan to plan risk with major HMO plans.

    #LI-DP1

    *Required Education/Experience/Specialized Skills:*

    • At least seven years combined experience in management of provider relations and contracting at the plan, medical group /IPA level of which four years must be in a leadership capacity.

    *Preferred Education/Experience/Specialized Skills/Certification:*

    • Masters degree in healthcare administration or similar.

    • Good with reporting (pivots) and Epic Tapestry

    **Job:** **Ops Admin*

    **Organization:** **Scripps Health Corp*

    **Title:** *Director, Provider Network Management*

    **Location:** *Central San Diego County-SAN DIEGO-SCRIPPS HEALTH PLAN SERVICES*

    **Requisition ID:** *252002230*