- CACI International (Sterling, VA)
- Network Problem Management Quality ...Develop and maintain quality standards for problem management processes + Provide training and guidance ... * * * **The Opportunity** : We are seeking an experienced ITIL Network Problem Management Quality Assurance Lead to ensure the effectiveness and efficiency… more
- House of Representatives (Washington, DC)
- …Support; Knowledge of Emerging Trends and Industry Best Practices; Network Management ; Project Management ; Quality Assurance and Testing; and ... and administrative counsel. The incumbent provides systems administration and configuration management support for data network hardware and software components… more
- Children's Hospital Los Angeles (Los Angeles, CA)
- …broad range of critical strategic business initiatives within the scope of primary care network development and management , and quality and patient safety. ... education/orientation, clinical integration, evaluation of network adequacy, quality , and performance metrics. Collaborates with provider relations… more
- AmeriHealth Caritas (Washington, DC)
- … satisfaction, education, and communication. This position is also responsible for all provider network recruiting and contracting management activities as ... Responsible for managing the day-to-day activities of the DC Medicaid Plan Network Management department and staff. Responsible for assisting the Leader… more
- AmeriHealth Caritas (Charleston, SC)
- **About the job:** The Manager of Provider Network Management manages the Network Management department's and staff's day-to-day activities. ... and communication. This position is also responsible for all provider network recruiting and contracting management...and managing the day-to-day activities of the Account Executives, Quality Practice Advisors and Provider Network… more
- Centene Corporation (Carson City, NV)
- …the newly developed roadmap, lead implementation of prioritized initiatives in partnership with Provider Network Management , Medical Management , Product, ... provider innovation, provider initiatives and network strategy, including network provider ...and guidelines to increase market share, revenue growth, and quality outcomes. + Develops, implements and maintains a multi-year… more
- AmeriHealth Caritas (Southfield, MI)
- **Role Overview:** The Provider Network Management Contractor is responsible for developing, contracting, and maintaining provider relationships within ... contract terms that drive provider satisfaction. + Works with CPNM (Clinical Provider Network Management ) to manage the annual contracting schedule and… more
- AmeriHealth Caritas (Southfield, MI)
- … comprehensive senior leadership and strategic direction to the market network management teams in developing and maintaining effective, high-performing ... contract all hospital, physician, ancillary, facility, and physician extender network development and management for all products...related aspects of state contract. + Leads and manages provider network team to ensure high performance,… more
- AmeriHealth Caritas (Baton Rouge, LA)
- … management of provider satisfaction. + Contractors will work with Corporate Provider Network Management to manage the annual contracting schedule as ... departmental policies. + Ensures contracts are supportive of Plan quality initiatives such as HEDIS, CAHPS and NCQA/URAC. +...claim payment methodologies. + Augments and modifies the existing provider network to accommodate new products or… more
- Premera Blue Cross (Mountlake Terrace, WA)
- …through our Healthsource blog: https://healthsource.premera.com/ . **_About the role of Senior Provider Network Executive_** The **Sr. Provider Network ... the **PNE IV** is responsible for the negotiation and management of Premera's most complex and critical provider...Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment.… more