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Evaluate the provider network and implement strategic plans to achieve organizational targets and financial objectives through effective primary care, specialty, hospital and ancillary provider contracting and contract management.
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The Provider Network Director will design and implement programs to build and nurture positive relationships between the health plan, providers (physician, hospital, ancillary, etc.
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The Provider Network Director is responsible for the full range of provider engagement and adequacy strategies. The Provider Network Director will spend time connecting with providers directly, both virtually and in person, and assimilating and analyzing data to gain better visibility into provider experience.
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Professional, facility, and ancillary contracts for the PHC provider network. facilities, ancillary, and other provider types for all PHC programs. Coordinator II is responsible for, Contracting Department tracking, and reporting provider network.
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The Area Manager-Retail Health is a lead administrative position responsible for the oversight and management of the daily operations for multiple affiliated Retail Health and ancillary service locations (4-7) that are geographically dispersed in the region.
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Assist with network development and provider contracting with various providers and ancillary providers. Serve as clinical liaison and medical leader in meetings and conversations with inpatient facilities and provider joint operating committees to maintain facility relationship and participate in problem solving, including discussing contract language related to medical management/clinical services, as well as case review discussions.
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PhyNet Health Network offers the following services varying per clinic location:- Primary Care Physician- Pediatrics / Geriatrics- Chronic Care Management- Occupational Medicine- Women's Health- BioTe Hormone Therapy- Ancillary ServicesEMR: eClinicalWorks.
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Director, Provider Network Management - East TN market supporting Medicare Advantage. Director, Provider Network Contracting. Experience with Physician, Hospital, Ambulatory Surgery Center and Ancillary group contracting and negotiations.
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Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations, including The Heart Center, a leading provider of cardiology care.
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Be well-versed on financial aspects of various levels of risk bearing contracts, and possess the ability to gain traction for provider adoption. Participate in regional or Humana national level committees, including meetings related to medical necessity determination processes and Medical Director audit processes.
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Oversee regional utilization management for case types including but not limited to inpatient (acute care hospital, LTAC, Acute rehab, SNF), as well as according to the Humana Medicare Model of Care. The Regional VP, Health Services is a vital member of the Mid-Atlantic region senior leadership team, as well as the Humana clinical community.
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ResponsibilitiesVice President, Threat Management & ResponseJob Description:Humana is a Fortune 50 market leader in integrated healthcare whose dream is to help people a. The Regional VP, Health Services will serve as the Senior Physician for the Mid-Atlantic region.
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The Provider Network Management Director identifies and develops the provider network for new plans through market research, contract negotiations, relationship development, and servicing for large health systems and affiliated physician groups including employed and hospital-based and hospital-owned ancillary providers.
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Provider Network Strategy Director. BA/BS degree and a minimum of 8 years' experience in contracting (value based, shared savings and ACO development), provider relations, provider servicing; experience must include prior contracting experience; or any combination of education and experience, which would provide an equivalent background.
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All - Must have a current Healthcare Provider CPR course completion card or obtain certification during initial orientation at Parkland from one of the following: - American Heart Association - American Red Cross Rescuer - Military Training Network Skills or Special Abilities - Must be able to operate various types of ultrasound and ancillary equipment used in performing ultrasound procedures.
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