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Elevance Health
Grand Prairie, TX, United States
JR113254 Director Network Management Responsible for network development and provider reimbursement for a regional Health Services Area. Location: Texas, this position will work in a hybrid model (remote and office). The ideal candidate will live within 50 miles of our Pulse Point office location. How will you make an impact: Oversees contract
Job Source: Elevance HealthCarParts.com
Grand Prairie, TX, United States
Job Description Job Description What We Do CarParts.com is the go-to eCommerce platform for auto care and maintenance. We offer drivers quality parts at competitive prices and allow customers to schedule an appointment with a trusted mechanic directly from our website. We use world-class design principles and the latest technologies to de
Job Source: CarParts.comFidelity TalentSource LLC
Westlake, TX, United States
Job Description: The Role As Director, IT Product Management , you will be working in a team responsible for managing products and vendors through the entire product lifecycle from strategic planning in support of the Datacenter and Core Network Services Team. This includes working closely with the product engineering teams, vendor contracts, ve
Job Source: Fidelity TalentSource LLCCapital One
Fort Worth, TX, United States
Locations: Sales - CA - Los Angeles, United States of America, Los Angeles, California Relationship Manager, Business Cards & Payments - Acquisitions (Los Angeles - Burbank) Relationship Manager, Business Cards & Payments (Acquisitions) Territory : Los Angeles, Burbank, Santa Clarita, Palmdale, Lancaster Are you a self-starter, a go-getter, an
Job Source: Capital OneConsolidated Analytics
Fort Worth, TX, United States
The Mortgage Cash Management Director is responsible for overseeing all aspects of payment processing while ensuring strict compliance with investor, regulatory, and legal company requirements. The position requires strong leadership skills that can develop and maintain high-performance teams. The manager shall ensure performance standards are main
Job Source: Consolidated AnalyticsCity of Grapevine
Grapevine, TX, United States
Manages and leads the marketing department and overall brand management program for the Grapevine Convention and Visitors Bureau (CVB). Responsible for identifying market opportunities and developing short and long-term marketing strategies with the objective of attracting overnight and day visitor business from the convention and leisure markets,
Job Source: City of GrapevineLVI Associates
Fort Worth, TX, United States
We have a current opportunity for a Director of Project Delivery on a permanent basis, that is based in Houston, Texas. As a leading independent power producer, my client is looking to bring on an accomplished and self-motivated director to lead their pre-construction and construction teams in the utility scale solar sector. Requirements/qualifica
Job Source: LVI AssociatesHill School of Fort Worth
Fort Worth, TX, United States
Hill School of Fort Worth is looking for a Director of Enrollment Management to oversee all aspects of the enrollment and retention process. Located in southwest Fort Worth, Hill School is a college preparatory, private school for K-12 students with dyslexia, dysgraphia, dyscalculia, ADHD, high-functioning ASD, and other learning differences. Jo
Job Source: Hill School of Fort WorthFort Worth, TX, United States
Director, Network Management page is loaded Director, Network Management Apply locations Fort Worth, TX time type Full time posted on Posted 2 Days Ago job requisition id JR-104157 Location:
Calmont Operations Building Department:
Network Mgmt Shift:
First Shift (United States of America) Standard Weekly Hours:
40 Summary:
Plans, organizes, staffs, and coordinates all activities of the Health Plans Network Management Department. Works with Staff and Senior Management to develop and implement provider contracting strategies and provider service strategies to improve member access and enhance Provider satisfaction with the Health Plan. Primary Health Plan liaison for Claims, Member Services, Care Management, and other key departments within the Health Plan. Responsible for facilitating positive, professional relationships within the managed care organization, Providers, and the community. Responsible for the oversight and management of all physician, hospital and ancillary provider relationships. Additional Information:
Cook Children's Health Plan is looking for a Director, Network Management. As the Director, you will plan, organize, staff, and coordinate all activities of the Health Plan's Network Management Department. You will work with staff and senior management to develop and implement provider contracting strategies and provider service strategies to improve member access. and enhance provider satisfaction with the Health Plan. You, as the Director, will be the primary Health Plan liaison for Claims, Member Services, Care Management, and other key departments within the Health Plan.
The director is also responsible for facilitating positive, professional relationships within the managed care organization, providers, and the community. You will have oversight and management of all physician, hospital and ancillary provider relationships.
Qualifications:
Bachelors' degree required, MBA preferred
Advanced training in healthcare, business, or a related field required
Five to ten years operational experience in a health care organization preferably in the area of provider network management
Minimum of five years team management experience
Must demonstrate proven success in establishing and maintaining positive working relationships with health care providers and their staffs
Working knowledge of HMO business operations specifically the functions of utilization management, member services, claims, credentialing and benefit plan interpretation
Experience preparing and presenting information to individuals and groups
Must be attentive to detail, have excellent organizational, problem solving, verbal and written communication skills
Strong customer service orientation and skill set
Must be able to work independently and actively participate as an integrated team member
Analytical thought processes and strong organizational, conflict resolution, and facilitation skills
Team and collaboration oriented, performance driven
About Us:
Cook Children's Health Plan
Cook Children's Health Plan provides vital coverage to nearly 120,000 people in low-income families who qualify for government-sponsored programs in our six county service region. Cook Children's Health Plan provides health coverage for CHIP, CHIP Perinatal, STAR (Medicaid) and STAR Kids Members in the Tarrant county service area. The counties we serve includes Tarrant, Johnson, Denton, Parker, Hood and Wise.
Cook Children's is an EOE/AA, Minority/Female/Disability/Veteran employer.
Careers at Cook Children's Promise, a strong word with deep meaning that everyone understands—especially kids. This is the foundation of our organization and what drives us to blaze new trails in medical care, research, advanced technology, as well as programs and initiatives that benefit children who may not otherwise have access to quality health care. Every day our employees come to work with the intention of keeping our Promise. It's the guiding principle that helps our patients and their families get better and stay healthy. As a member of our Cook Children's team, you can be an important part of making that happen.
Introduce Yourself If you don't see an opportunity that matches your background, please feel free to drop off your resume/cv.
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Director, Network Management jobs in Fort Worth, TX, United States
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