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Drive strategic initiatives within the provider network and ensure that the alignment of departmental objectives is congruent with corporate strategy through active participation in corporate strategic planning, budgeting/forecasting and human resource management.
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In conjunction with the Director, Provider Network Management & Operations, develops health plan-specific provider contracting strategies, identifying specialties and geographic locations on which to concentrate resources for purposes of establishing a sufficient network of Participating Providers to serve the health care needs of the Plan's patients or members.
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Interact with internal departments such as Finance, Medicare Operations, Network Management, Provider Contracting, Health Services, Marketing & Sales, IT, AUA, and Compliance. Develop and oversee implementation annual initiatives for risk adjustment and revenue management initiatives to support the overall strategic goals.
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The Director of IT Operations & Systems is responsible for directing and coordinating the operation of the entire technology landscape and ecosystem, including network, infrastructure, platforms (cloud and on-premise), endpoints, hardware, software and systems company-wide (corporate & hotel), ensuring that all policies and procedures are established, evolved, published and followed, and rectifying any problems which arise.
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Internal network liaison for Claims, Provider Services, Utilization Management, and other company departments as needed. The Contract Coordinator will need to be able to multi-task, be articulate and detail-oriented, with excellent reading comprehension and analysis to assist the Director of Contracting and Contract Specialist.
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Provider Network Management Director. develops the provider network through 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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Participate in Okta reviews to improve IAM.Engagement:●Supports the IT Operations Director of Network Architecture and Infrastructure and Operations team in development and deployment of IAM solutions.
$152,000 - $162,000 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Our client is seeking a Vendor and Provider Network Manager to play a key role in establishing oversight and management of vendor and provider network partnerships for their integrated care delivery startup.
$95,000 - $125,000Full-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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Participates in provider network development and new market expansion as appropriate. Position Purpose: Assist the Chief Medical Director to direct and coordinate the medical management, quality improvement and credentialing functions for the business unit.
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Position Summary: The Provider Network Services (PNS) Assistant Director (AD) functions in a leadership role within PNS, and works in collaboration with Physicians, Service Line Director and Medical Office Staff.
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Your RoleThe Network Management team handles provider contracting and provider relations statewide. You will be responsible for comprehensive management of Medical Group/IPA and Hospital/Facility provider network contract processes including derivation, implementation, and ongoing support of assigned provider agreements.
$87,230 - $130,900 a yearFull-timeExpandApply NowActive JobUpdated Today - UpvoteDownvoteShare Job
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CHR is a nationwide occupational health examiner network service provider that provides case management services to clients nationwide. Assist in managing, coordinating, documentation of Workers Comp claims & communicating with Client's Work Comp Director, assisting with Injury & Illness management.
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Advanced Physician Services, PC, the Academic Practice of the Westchester Medical Center Health Network (WMCHealth) is seeking an experienced Medical Director to lead the Department of Pathology and Laboratory Medicine at MidHudson Regional Hospital (MHRH), Poughkeepsie, NY. The candidate must have strong general surgical pathology diagnostic skills and experience/expertise in management of clinical laboratory.
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This position is responsible for developing, contributing toward and supporting Altais’s business strategy of revenue maximization, membership growth and retention, network expansion and improved health plan and provider relations as it relates to health plan contracting for a variety of healthcare business types, i.e. medical group, IPA, clinically integrated networks, for all product types; i.e. HMO, PPO, ACO, and for all risk types; i.e. ACO, shared risk, dual risk, global risk.
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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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