- AmeriHealth Caritas (Baton Rouge, LA)
- **Role Overview** : The Director of Provider Network Operations is responsible for overseeing and managing all local operational functions to ensure efficient ... sessions. **Responsibilities:** + Oversee the full operations of the provider network . + Ensure the accuracy and...directory accuracy. + Present new ideas aligned with continuous quality improvement (CQI) principles and motivate teams to apply… more
- St. Luke's University Health Network (Allentown, PA)
- …Acquisition Specialist is responsible for assisting with the mission of the network 's growth and provider satisfaction strategies by supporting the recruitment ... provider roles. Activities include sourcing, advertising, candidate relationship management , interviewing, hiring, onboarding and coordination of / attendance at… 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 ... independent and team-based clinical practice and consultation in the evaluation and management of pediatric patients referred for possible child abuse and neglect.… more
- CenterWell (Tallahassee, FL)
- …A minimum of eight years of progressive experience in provider network management , provider contracting, quality + A minimum of five years formal ... plan/practice relationship across such areas as financial performance, incentive programs, quality and clinical management , population health, data sharing,… more
- St. Luke's University Health Network (Allentown, PA)
- …we serve, regardless of a patient's ability to pay for health care. The Network Provider Services Auditor performs audits as part of the Documentation and ... Coding and SLPG Billing Department. JOB DUTIES AND RESPONSIBILITIES: + Perform quality audits to include reviewing medical record documentation for completeness and… more
- St. Luke's University Health Network (Bethlehem, PA)
- …ability to pay for health care. The Assistant Vice President and Network Strategist, Business Development and Strategy is responsible for driving the development ... and implementation of planning processes that align with the Network 's overall strategy. Designs and deploys effective structures, tools, and methodologies to create… more
- Novant Health (Asheboro, NC)
- …for a compassionate, caring Spine Specialist Pain management Ambulatory Advanced Practice Provider in our Triad Market to provide primary health care and ... is designed with you in mind. Our expert clinicians provide the latest treatments or management of...continuous learning and teamwork to build a high performing provider network . + Instituted an APP Council… more
- Magellan Health Services (Albuquerque, NM)
- …and lines of business. Interacts with all areas of organization to coordinate network management and network administration responsibilities. + Assesses ... to meet network adequacy standards and assure quality network . + Conducts and coordinates contracting...draft, clarify and recommend changes to policies which impact network management . The job duties listed above… more
- CVS Health (PA)
- … Network Management ** who provides strategic leadership and oversight for network management and provider relations within the **Keystone territory of ... lead dispute resolution processes, and collaborate with key stakeholders to drive network growth and ensure high- quality provider relationships. You'll… more
- Molina Healthcare (Jackson, MI)
- …and contracted provider network . They are responsible for network management including provider education, communication, satisfaction, issue intake, ... occur to discuss and resolve issues related to utilization management , pharmacy, quality of care, and correct...**REQUIRED EXPERIENCE/KNOWLEDGE, SKILLS & ABILITIES** : * 4-6 years provider contract network relations and management… more