Analyzes and administers the technical architecture of Local Area Networks and Wide Area Networks. Researches, runs tests, evaluates, and recommends telecommunications and data network systems. Analyzes workload, including traffic and utilization trends. Interfaces with users, consultants, technical teams, and vendors... [+] More

Analyzes and administers the technical architecture of Local Area Networks and Wide Area Networks. Researches, runs tests, evaluates, and recommends telecommunications and data network systems. Analyzes workload, including traffic and utilization trends. Interfaces with users, consultants, technical teams, and vendors for maximum guidance in determining the most appropriate type of hardware installation. Supports complex PCs and LAN/WAN networks throughout the organization. Requires advanced knowledge and experience in the area of local and wide area networking, communications, and related hardware and software.

Identifies areas of operation that need upgraded equipment, such as modems, fiber optic cables, and telephone wires. Conducts survey to determine user needs. Reads technical manuals and brochures to determine equipment that meets establishment requirements. Visits vendors to learn about available products or services. Tests and evaluates hardware and software to determine efficiency, reliability, and compatibility with existing system, using equipment such as computer terminal and modem. Analyzes test data and recommends hardware or software for purchase. Develops and writes procedures for installation, use, and solving problems of communications hardware and software. Monitors system performance. Instructs users in use of equipment, and assists users to identify and solve data communication problems. May design and develop complex software interface programs. May write technical specifications to send to vendors for bid. May oversee or assist in installation of communications hardware. May perform minor equipment repairs. [-] 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

Manages operations over franchised or independent fast food or wholesale-prepared food establishment; directs and coordinates activities of subordinate District Managers involved in operating fast food services. Analyzes market trends and economic conditions to forecast sales potential in areas. Evaluates adequacy... [+] More

Manages operations over franchised or independent fast food or wholesale-prepared food establishment; directs and coordinates activities of subordinate District Managers involved in operating fast food services. Analyzes market trends and economic conditions to forecast sales potential in areas. Evaluates adequacy of return on investments on individual restaurants and alters or initiates procedures to improve service, sales, and reduce expenses. Examines financial performance of individual restaurants, and reviews and acts on reports that include recommendations for maintenance and repair, changes in operational procedure, marketing, advertising, and purchasing.

Maintains employment records for each District Manager. Terminates employment of District Managers whose performance does not meet company standards. Directs activities of business records, collecting and paying accounts, and ordering or purchasing supplies. [-] Less

Directs planning, research, and analysis of organization's objectives, long-range planning, business opportunities, and business development activities, including mergers, acquisitions, and divestitures. Develops, coordinates, and implements plans and research projects to improve and expand the organization's strategic market position and to... [+] More

Directs planning, research, and analysis of organization's objectives, long-range planning, business opportunities, and business development activities, including mergers, acquisitions, and divestitures. Develops, coordinates, and implements plans and research projects to improve and expand the organization's strategic market position and to achieve growth and financial profitability.

Confers with other department heads to ensure consistency in the organization's long-term planning. Evaluates the results of market research projects and financial feasibility studies and projects, and reviews organization and department activity and operating reports. Analyzes budget, identifies organization's needs, and may allocate operating funds. Promotes organization in industry trade associations. [-] Less

Manages and... [+] More

Manages and aids in the analyzing, planning, research, and development of organization's objectives and strategic plans in order to achieve business opportunities, growth, and financial profitability. Develops plans to achieve growth and financial profitability via acquisitions, mergers, and/or divestitures. Oversees and contributes to the development and research of building on company strengths, identifying potential new markets and business opportunities, increasing share of market, and obtaining a competitive position in the industry.

Administers company strategic plans via subordinate personnel. Confers with department staff and reviews activity and operating reports. Promotes organization in industry trade associations. May be responsible for the strategies of prices, marketing, advertising, and profitability of specific products. [-] Less

Manages, coordinates, and oversees activities of employees engaged in supporting the organization's telecommunications and PC network activities, including documentation, administration, technical services, and procurement. Reviews report of computer and peripheral equipment production, malfunction, and maintenance to ascertain costs and plan... [+] More

Manages, coordinates, and oversees activities of employees engaged in supporting the organization's telecommunications and PC network activities, including documentation, administration, technical services, and procurement. Reviews report of computer and peripheral equipment production, malfunction, and maintenance to ascertain costs and plan operating changes within department. Manages the testing and analysis of all network components including complex software, hardware, and transmission systems. Recommends corrective actions in order to ensure high quality, efficient network performance. Typically requires eight to ten years of increasingly responsible experience in network operations, analysis, and design.

Oversees the development of project plans designed to implement new technology and enhance existing systems. Develops and implements policies and standards and ensures their conformance to the organization's security procedures and company objectives. Confers with various vendors to evaluate hardware, software, and telecommunications equipment and recommends procurement in coordination with department and organization standards. Possesses comprehensive knowledge of network operating systems and network management tools, as well as extensive experience with telecommunications hardware such as LAN hubs, fiber optics, bridges, routers, universal cabling, gateways, etc. [-] Less