- CVS Health (Charleston, WV)
- …in new and exciting ways every day. Aetna is recruiting for an **Executive Director , Network Management ** who provides strategic leadership and oversight for ... network management and provider relations within the **Keystone...plans to meet business goals and objectives. + Guiding management for individual performance evaluations aimed to provide… more
- Capital One (Chicago, IL)
- Director , Product Management , DevX - Network Observability ** Director , Product Management (PXDP60)** Product Management at Capital One is a ... foundational infrastructure, serving the hyper-connected digital business, is the Network . As a Product Leader for Network ...be regularly worked. Chicago, IL: $205,400 - $234,400 for Director , Product Management McLean, VA: $226,000 -… more
- Molina Healthcare (Spokane, WA)
- …years experience Managed Care industry experience - Medicaid, Medicare, Marketplace. Network Management and Public Policy New Program implementation experience ... **JOB DESCRIPTION** **Job Summary** Responsible for the Management of internal business projects and programs involving department or cross-functional teams of… more
- Carrier (Palm Beach Gardens, FL)
- …pivotal member of the network management team, the Associate Director will provide thought leadership and collaborate with engineering and architecture ... follow Carrier on social media at @Carrier. **About This Role** The Associate Director of Network Operations is responsible for guiding the strategic direction,… more
- CVS Health (Hartford, CT)
- …forecasts, and long-term strategic planning. The Executive Director will oversee network management and provider relations, while also crafting a ... improve access to care. Aetna is seeking an Executive Director to lead the First Health business with full...compliance with regulatory requirements and accreditation standards related to provider network management . + Communicating… more
- Manulife (Boston, MA)
- …care providers to our customers when they need it. The Director , Provider Network Development & Relationship Management , is responsible for leading ... Public Policy, or related field preferred + 8 -15+ years in provider network management , healthcare contracting, or payer strategy roles + Familiarity… more
- Sanford Health (Sioux Falls, SD)
- …- Day Shifts **Job Schedule:** Full time **Weekly Hours:** 40.00 **Job Summary** The Director of Provider Network Contracting is responsible for maintaining ... Services and other applicable laws and regulations. Also oversees contract document management of templates and executed agreements. Oversees network adequacy to… more
- AmeriHealth Caritas (Charleston, SC)
- …the job is to be responsible for the oversight of the local Plan's Provider data, reimbursement rules, and address provider inquiries and complaints. In ... remediation plan for any non-complying areas + Ensure all Provider reimbursement (configuration) documentation is completed timely and accurately,...as a member of a team as well as provide day-to-day leadership to support staff + Perform other… more
- Commonwealth Care Alliance (Boston, MA)
- …quality, compliance, medical management , and analytics teams to advance provider network operations, education, and performance improvement. The Provider ... have): * 8-10 years of progressively responsible experience in provider relations, network management , or...of experience in provider relations, contracting, or network operations, including 3-5 years in a director… more
- The Cigna Group (Independence, OH)
- …direction and management of the day to day contracting and network management activities for a local given territory. **DUTIES AND RESPONSIBILITIES** ... **WORK LOCATION: Cleveland or Independence, OH area.** The ** Provider Contracting Director ** serves as an...loading and submissions and interface with matrix partners for network implementation and maintenance. + May provide … more