- Commonwealth Care Alliance (Boston, MA)
- …of Delegation Partnerships and Performance, is responsible for advancing provider quality performance across CCA's contracted network , with a focus on ... determinants of health (SDOH) measures. The Program Manager will work collaboratively with our provider network and Quality teams to identify quality … more
- Gilead Sciences, Inc. (Parsippany, NJ)
- …to the Gilead's contract organization global network . As a Director, External Quality Strategy & Operations at Gilead you will + The successful candidate ... the Associate Director/Director level to lead a team of Quality Professionals to drive strategy development and...Quality System module to Gilead's contract organization global network . + Key representative for Gilead's Quality … more
- Health Care Service Corporation (Tulsa, OK)
- …**Job Summary** This position is responsible for value-based care and new network strategy and development activities at an advanced consultative level ... profitability. Responsible for the identification, evaluation and development of innovative network / care management solutions; direction and expansion of value… more
- Bon Secours Mercy Health (Richmond, VA)
- …Bon Secours Mercy Health, we are dedicated to continually improving health care quality , safety and cost effectiveness. Our hospitals, care sites and clinicians are ... of Position** In collaboration with Market President, the Physician and Provider Relationship Manager is responsible for incremental improvement of in- network… more
- Highmark Health (Pittsburgh, PA)
- … provider inventive and payment strategy . The role also leads the strategy and creation of provider network designs and programs. The incumbent ... Responsible for creating on a holistic incentive and payment strategy , including RPM, STARS, and Quality programs....+ Develop and maintain HPN network design strategy , translating product / segment needs to provider… 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 ... Premera product knowledge to foster a collaborative approach to quality care, network stability and cost containment....methodologies and provider engagement strategies + Advise Provider Strategy & Solutions (PS&S) leadership and… more
- AmeriHealth Caritas (Charleston, SC)
- …and communication.; + Responsible for assisting in the development and execution of annual provider network strategy to include network adequacy ... for staffing decisions and managing the day-to-day activities of the Account Executives, Quality Practice Advisors and Provider Network Coordinators.; +… more
- The Cigna Group (Los Angeles, CA)
- …CA market. Must live in the Glendale/Los Angeles, CA area.** The **Manager, Provider Contracting Network Management** serves as an integral member of the ... and management of the day to day contracting and network management activities for a local given territory. **DUTIES...and manages initiatives that improve total medical cost and quality . + Drives change with external provider … more
- AmeriHealth Caritas (Southfield, MI)
- …executive leadership. **Responsibilities:** + Leads comprehensive provider contracting strategy to achieve cost-efficient and high-performing network + Lead ... provider related aspects of state contract. + Leads and manages provider network team to ensure high performance, accountability, empowerment & engagement.… more
- Humana (Montgomery, AL)
- …of strategic plans, business outcomes, which align with the Segment or Business strategy . The Regional VP, Provider Network Performance is responsible ... and help us put health first** The Regional VP, Provider Network Performance, establishes long-range goals, objectives,...leaders and their respective functions with a focus on Provider Engagement, Quality and Medicare Risk Adjustment.… more