Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network... [+] More

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network planning supervisors, or similar personnel, to monitor all activities of the network facilities. Designs, develops, maintains, and communicates project plans and schedules for network installations with prioritized requirements.

Develops and implements standards and processes for system analysis and support. Manages the evaluation of software and hardware systems to ensure compatibility across the network. Coordinates the acquisition, analysis, and installation of hardware and software at remote locations. Develops and implements policies in support of network and data systems for the organization. Manages and coordinates training of staff responsible for planning and installation of network software and hardware. [-] Less

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network... [+] More

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network planning supervisors, or similar personnel, to monitor all activities of the network facilities. Designs, develops, maintains, and communicates project plans and schedules for network installations with prioritized requirements.

Develops and implements standards and processes for system analysis and support. Manages the evaluation of software and hardware systems to ensure compatibility across the network. Coordinates the acquisition, analysis, and installation of hardware and software at remote locations. Develops and implements policies in support of network and data systems for the organization. Manages and coordinates training of staff responsible for planning and installation of network software and hardware. [-] Less

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network... [+] More

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network planning supervisors, or similar personnel, to monitor all activities of the network facilities. Designs, develops, maintains, and communicates project plans and schedules for network installations with prioritized requirements.

Develops and implements standards and processes for system analysis and support. Manages the evaluation of software and hardware systems to ensure compatibility across the network. Coordinates the acquisition, analysis, and installation of hardware and software at remote locations. Develops and implements policies in support of network and data systems for the organization. Manages and coordinates training of staff responsible for planning and installation of network software and hardware. [-] Less

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network... [+] More

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network planning supervisors, or similar personnel, to monitor all activities of the network facilities. Designs, develops, maintains, and communicates project plans and schedules for network installations with prioritized requirements.

Develops and implements standards and processes for system analysis and support. Manages the evaluation of software and hardware systems to ensure compatibility across the network. Coordinates the acquisition, analysis, and installation of hardware and software at remote locations. Develops and implements policies in support of network and data systems for the organization. Manages and coordinates training of staff responsible for planning and installation of network software and hardware. [-] Less

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network... [+] More

Manages the long-term strategic planning, development, and installation of digital network systems, such as frame relay, ISDN, and Internet services, to ensure network capacity for current and future organizational requirements. Coordinates and oversees the activities of a group of network planning supervisors, or similar personnel, to monitor all activities of the network facilities. Designs, develops, maintains, and communicates project plans and schedules for network installations with prioritized requirements.

Develops and implements standards and processes for system analysis and support. Manages the evaluation of software and hardware systems to ensure compatibility across the network. Coordinates the acquisition, analysis, and installation of hardware and software at remote locations. Develops and implements policies in support of network and data systems for the organization. Manages and coordinates training of staff responsible for planning and installation of network software and hardware. [-] Less

Directs a department responsible for developing and maintaining an integrated network of providers, hospitals, and affiliated health programs within a designated area. Develops and maintains the operations of an integrated network of providers, hospitals, and affiliated health care programs. Establishes... [+] More

Directs a department responsible for developing and maintaining an integrated network of providers, hospitals, and affiliated health programs within a designated area. Develops and maintains the operations of an integrated network of providers, hospitals, and affiliated health care programs. Establishes and operates affiliated clinical programs with community providers which generate income and positions the organization as the preferred provider of care. Typically requires a bachelor's degree with seven years of related managed care administration experience and strong capitation negotiating skills.

Negotiates with providers including medical groups, IPAs, hospitals, mental health providers, and ancillary services. Drafts contracts and communication to both legal department and contracted entities. Identifies, plans, and develops network needs for expansion in both existing and additional service areas. Actively recruits providers and facilities within a designated territory. Analyzes existing medical group and hospital/facility rate structures to ensure competitive market rates. Provides network servicing, in-service training, visits to provider groups, and provider relations problem resolution, focusing on contract issues. Works with the Member Services Department in resolution of claims issues, training, and response to provider questions and problems. Provides administrative, management, and operational oversight to the network. Develops, monitors, and oversees implementation of strategic and operational plans specific to network activities. Monitors the performance of network activities and provides related timely reports. Designs and implements programs to maintain positive relationships between health plans, physicians, and providers. Responsible for hiring, developing, and managing a qualified management staff concerned with the development and maintenance of the health care network. Prepares, manages, and monitors the departmental budget. [-] Less

Directs preparation of production work schedules in various sections of manufacturing. Organizes and coordinates various sections of manufacturing. Oversees planning and establishing of production schedules and follows up performance against estimates.

Recommends new policies or procedures as necessary. Directs assembly of... [+] More

Directs preparation of production work schedules in various sections of manufacturing. Organizes and coordinates various sections of manufacturing. Oversees planning and establishing of production schedules and follows up performance against estimates.

Recommends new policies or procedures as necessary. Directs assembly of cost control and statistical data and the development of material selection standards. Approves process specification and design standards. Oversees preparation and control of departmental annual budget. [-] Less

Directs long-range planning staff and activities, and evaluates, plans, and develops organization policies and goals and growth and structural program objectives. Establishes company objectives, develops strategic plans, and identifies company strengths and weaknesses in order to achieve business opportunities, growth,... [+] More

Directs long-range planning staff and activities, and evaluates, plans, and develops organization policies and goals and growth and structural program objectives. Establishes company objectives, develops strategic plans, and identifies company strengths and weaknesses in order to achieve business opportunities, growth, and financial profitability, in concert with other top management members.

Coordinates activities of department among other departments, such as operating, manufacturing, engineering, planning, sales, maintenance, or research and development, to effect operational efficiency and economy and to ensure consistency in organization's long-term planning. Analyzes and focuses on new markets, mergers, and acquisitions, identifying business opportunities, increasing share of market, and obtaining competitive position in industry. Prepares, analyzes, and monitors budget requests to identify areas in which reductions can be made, and allocates operating budget. Reviews company and department activity and operating reports. Promotes organization in industry trade associations. [-] Less

Organizes, directs and controls the operations of an integrated physician/hospital network that provides contracting opportunities for managed care payers.

Organizes, directs and controls the entire provider network function including network development, contracting, credentialing, provider relations, and provider services. Establishes physician and... [+] More

Organizes, directs and controls the operations of an integrated physician/hospital network that provides contracting opportunities for managed care payers.

Organizes, directs and controls the entire provider network function including network development, contracting, credentialing, provider relations, and provider services. Establishes physician and hospital recruitment priorities, determines compensation methodologies and negotiates contracts. Ensures a comprehensive, cost-effective, and accessible provider network. Negotiates, administers, extends, terminates, and renegotiates contracts. Formulates and coordinates proposals. Coordinates activities of workers engaged in formulating bid proposals. Evaluates or monitors health outcome and contract performance to determine necessity for amendments or extensions of contracts, and compliance to contractual obligations. Approves or rejects requests for deviations from contract specifications. Arbitrates claims or complaints occurring in performance of contracts. May serve as liaison officer to ensure fulfillment of obligations by contractors. Develops and maintains a network of relationships with leaders involved in the integrated network of physicians. [-] Less

Provides executive leadership and coordination over Provider Network Contracting operations to include development and implementation of strategic plans that provide sound provider interaction and contracting.

Responsible for the research, policy development, contract development and expansion of the provider network. Plans, organizes... [+] More

Provides executive leadership and coordination over Provider Network Contracting operations to include development and implementation of strategic plans that provide sound provider interaction and contracting.

Responsible for the research, policy development, contract development and expansion of the provider network. Plans, organizes and directs the Provider Network Contracting department. Organizes, controls, and evaluates the implementation of strategic plans that provide strong provider relations and contracting. Formulates and administers departmental policies. Plans, organizes, implements and evaluates outcomes of the department’s strategic plans. Develops strategic initiatives and transforms initiatives into action plans. Develops and fosters effective collaboration between departments and other affiliated services to ensure an integrated approach to provider network contracting. Develops new strategies to enhance service and improve overall performance. Develops and maintains administrative and regulatory compliance systems. Reviews budgetary recommendations, and manages and monitors the departmental budget. Hires, develops and motivates a qualified staff. An advanced degree is typically required for this position with seven years of provider relations and contracting experience in managed care. [-] Less