- Omaha Children's Hospital (Omaha, NE)
- …and people with disabilities. **A Brief Overview** The Program Manager for Community Provider Network Relations is responsible for the support and maintenance of ... a regional network of community providers (the " Network "). The Program Manager (PM) will provide ...engage key partners. The PM will lead the organization's provider outreach programs and create relationships, structures and processes… more
- Health Care Service Corporation (Philadelphia, PA)
- …is responsible managing daily activities and implementation of strategies for provider HEDIS and STARS performance, recruitment and contracting of physicians, ... be responsible for education of providers, and for ongoing provider service. As a manager, this individual will lead...a manager, this individual will lead a team of Network Operations Coordinators. This person will guide and educate… more
- GovCIO (Bethesda, MD)
- **Overview** GovCIO is currently hiring for a Senior Network Architect/SME in Service Provider Backbone, LAN/WAN and DW/DM for our NIH-CIT proposal. This ... of user accepted designs and services to the Operations and Security Teams + Provide subject matter expertise in Service Provider backbone. + Provide … more
- Sanford Health (Sioux Falls, SD)
- …**Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining and growing a ... comprehensive network of affiliated healthcare providers across the Sanford Health...Sanford Health Plan membership. Oversees development and execution of provider contracting strategies. Identifies and creates processes to establish… more
- Seattle Children's (Seattle, WA)
- We are seeking a dedicated **Advanced Practice Provider (Nurse Practitioner or Physician Assistant)** to join our Child Protection Team. This part-time position ... coverage. For additional information about our team and the vital services we provide , please visit Seattle Children's Safe Child and Adolescent Network .… more
- Molina Healthcare (Sterling Heights, MI)
- …matter experts, delivering products through the design process to completion within Provider Network department. Help facilitate corporate markets with obtaining ... positions' primary focus is project/program management. **Job Duties** + Provide project summaries that will be senior leadership facing...5-7 years of Program and/or Project management experience. * Provider Network and SAI * Excel and… more
- CVS Health (Frankfort, KY)
- …providers in accordance with company standards to maintain and enhance provider networks while meeting and exceeding accessibility, compliance, quality, and ... financial goals and cost initiatives. Collaborates cross-functionally to develop provider compensation and pricing strategies and manages contracts through language… more
- Magellan Health Services (Boise, ID)
- …outreach and engagement plan. Responsibilities include building and maintaining an adequate provider network to meet the needs of the member population. ... include provider site visits, in-person & virtual provider meetings, and representing network on client... adequacy, network trends, and recruitment to Network Management and internal Magellan teams. + Provide… more
- Guardian Life (Bethlehem, PA)
- …be responsible for ensuring best-in-class service and support for the dentists that provide the greatest value to Guardian's proprietary network , resulting in ... resolution, and relationship management. Strong collaboration with internal stakeholders across Network Operations, Network Recruitment, Provider Relations,… more
- Highmark Health (Pittsburgh, PA)
- …business network strategy (government, commercial, etc.). Leads all aspects of provider network strategy including, but not limited to: discounts analysis, ... network adequacy standards and coordinates with other departments to ensure the provider network meets the healthcare needs of plan members. Oversees… more