We have other current jobs related to this field that you can find below

  • Director of Development and Community Engagement

    3 weeks ago

    Crown Point, United States Northwest Indiana Community Action Full time

    Job DescriptionJob DescriptionSalary: 70KNEW POST!!!# Join CoAction: Where Purpose Meets Passion!Are you ready to make a real difference in Northwest Indiana? Do you dream of waking up every day knowing your work directly impacts the lives of those who need it most? If so, we have an incredible opportunity that might just be your calling!CoAction is seeking...

  • Clinical Area Director

    1 month ago

    Crown Point, United States GuideStar Eldercare Full time

    The Clinical Area Director of Behavioral Health (CAD-BH) at GuideStar Eldercare (GSE) is responsible for deploying, empowering, supporting, and optimizing clinical practices that involve clinical psychologists, licensed social workers, and licensed mental health professional counselors across each region of GuideStar’s service market. This position...

  • Clinical Area Director

    1 month ago

    Crown Point, United States GuideStar Eldercare Full time

    The Clinical Area Director of Behavioral Health (CAD-BH) at GuideStar Eldercare (GSE) is responsible for deploying, empowering, supporting, and optimizing clinical practices that involve clinical psychologists, licensed social workers, and licensed mental health professional counselors across each region of GuideStar’s service market. This position...

  • Director of Nursing

    4 days ago

    Crown Point, United States Aperion Care Demotte Full time

    $10,000 sign on bonussign on bonus subject to terms and conditions, and minimum hours worked.SUMMARY: The primary purpose of the Director of Nursing position is to plan, organize, develop and direct the overall operation of our Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our...

  • Director of Nursing

    3 days ago

    Crown Point, United States Aperion Care Demotte Full time

    $10,000 sign on bonussign on bonus subject to terms and conditions, and minimum hours worked.SUMMARY: The primary purpose of the Director of Nursing position is to plan, organize, develop and direct the overall operation of our Nursing Department in accordance with current federal, state, and local standards, guidelines, and regulations that govern our...

  • Director of Nursing Operations

    2 days ago

    Crown Point, Indiana, United States Aperion Care Demotte Full time

    Job SummaryThe Director of Nursing position at Aperion Care Demotte is a critical leadership role that oversees the overall operation of our Nursing Department. As a key member of our management team, you will be responsible for planning, organizing, developing, and directing the nursing service department to ensure the highest degree of quality care is...

  • Director of Nursing Operations

    12 hours ago

    Crown Point, Indiana, United States Aperion Care Demotte Full time

    Job SummaryThe Director of Nursing position at Aperion Care Demotte is a critical leadership role that oversees the overall operation of our Nursing Department. As a key member of our management team, you will be responsible for planning, organizing, developing, and directing the nursing service department to ensure the highest degree of quality care is...

  • Risk Management Specialist

    2 weeks ago

    Crown Point, United States Franciscan Health Full time

    Franciscan Health Crown Point 12750 S Francis Dr Crown Point, Indiana 46307 WHO WE ARE With 12 ministries and access points across Indiana and Illinois, Franciscan Health is one of the largest Catholic health care systems in the Midwest. Franciscan Health takes pride in hiring coworkers that provide compassionate, comprehensive care for our patients and the...

  • Franciscan Health Crown Point

    2 months ago

    Crown Point, United States NorthStar Anesthesia Full time

    Role Overview Summary of Job: Franciscan Health Crown Point is seeking a Full Time Anesthesiologist Medical Director!  Cases include: All cases except transplants and high risk pediatrics.Cardiac capable (fellowship/TEE certification - not required) Compensation: Base salary: $560,000 + Medical Director Stipend + Sign on bonus offered! PTO: 10...

  • Registration Rep Float

    2 months ago

    Crown Point, United States Community Foundation of Northwest Indiana Full time

    Position: Registration Rep FloatLocation: Travel required, locations based on region Position Summary: Under the direction of the Network Manager and/or Office Supervisor, the Registration Representative will be responsible to greet and assist patients and visitors. Ascertains the patient's needs and directs them accordingly. Registers patients in accordance...

  • Project Manager

    2 weeks ago

    Crown Point, United States Mesa Associates, Inc. Full time

    Job DescriptionJob DescriptionSolutions Delivery Group / Corporate ServicesThis position is not eligible for recruiting or sourcing by outside parties.We’ve got the power to energize Your career and spark YOUR Work/Life Balance through professional development and exceptional benefits. Don’t delay, plug in today for an inclusive meaningful career in...

  • Project Manager

    5 days ago

    Crown Point, United States Mesa Associates, Inc. Full time

    Job DescriptionJob DescriptionSolutions Delivery Group / Corporate ServicesThis position is not eligible for recruiting or sourcing by outside parties.Candidates should only receive communication from our mesainc.com domain and through the UKG portal.We’ve got the power to energize Your career and spark YOUR Work/Life Balance through professional...

  • Project Manager

    3 days ago

    Crown Point, United States Mesa Associates, Inc. Full time

    Job DescriptionJob DescriptionSolutions Delivery Group / Corporate ServicesThis position is not eligible for recruiting or sourcing by outside parties.Disclaimer: Be cautious and only respond to emails from our “mesainc.com” domain. We will never ask for sensitive information, such as bank account details, SSN, etc., via email. If you receive any...

  • MT/MLT/Laboratory Scientist: Per Rotation Needed

    3 months ago

    Crown Point, United States Alverno Laboratories Full time

    Description Franciscan Health Crown Point Location: 12750 St Francis Dr., Crown Point, IN 46307Shift: Day/PM/Midnight as needed; Weekend and/or Holiday Rotation; Rotating ShiftFTE: 0WHY ALVERNOWe are a highly reliable scientific organization building a culture of service. Our commitment advances the health, wellness and continuity of care in the...

  • Studio Sales Manager

    3 months ago

    Crown Point, United States StretchLab - St. John Indiana Full time

    Job DescriptionJob Description StretchLab is seeking an experienced General Manager/Sales Manager to oversee sales and operations for our brand new studio that will be located in Crown Point, IN.        Founded in 2015 in Venice, California, StretchLab is the industry leader in offering one-on-one assisted stretching. With Co-Founders coming from...

  • Long Term Care Director of Nursing

    1 month ago

    Wolf Point, United States Clinical Management Consultants Full time

    A well-established hospital associated long term care facility is searching for an experienced and team-oriented Director of Nursing to join their team. Our team is excited to help you begin the next chapter of your career in the beautiful state of Montana! This 20 beds community medical center has been serving its community for generations. The Long Term...

  • Chief Anesthesia Officer

    12 hours ago

    Crown Point, Indiana, United States NorthStar Anesthesia Full time

    Empowering Anesthesiologists: Cultivating leadership and professional growth.NorthStar Anesthesia is excited to announce an opportunity for a Medical Director of Anesthesia. As we expand our reach across the nation, we seek dedicated clinicians who are committed to excellence in anesthesia care. Explore fulfilling roles at numerous healthcare facilities,...

  • Executive Director

    2 days ago

    Crown Point, Indiana, United States Wendy's Full time

    Wendy's Career OpportunitiesWelcome to Wendy's, where we offer a variety of exciting opportunities for individuals seeking challenges and the recognition they truly deserve. We are on the lookout for dedicated professionals looking to establish a long-term career with us, providing them with the chance to expand their skills and progress to greater heights....

  • Chief Anesthesia Officer

    13 hours ago

    Crown Point, Indiana, United States NorthStar Anesthesia Full time

    Empowering Anesthesia ProfessionalsNorthStar Anesthesia is at the forefront of a nationwide expansion, seeking dedicated clinicians to uphold our mission of delivering outstanding anesthesia care. Explore fulfilling opportunities at numerous healthcare facilities, where you will benefit from competitive compensation and comprehensive benefits packages while...

  • Enterprise Account Manager

    2 weeks ago

    Mineral Point, United States Bluebird Network Full time

    DescriptionAbout the Company: Bluebird Network is a communications infrastructure provider and data center operator owned by Macquarie Infrastructure and Real Assets Inc., a subsidiary of Macquarie Capital. Since 1999, Bluebird has provided internet and transport services via its fiber infrastructure to Carriers and Enterprises throughout the Midwest....

Director, Network Management

2 months ago

Crown Point, United States Vaco Full time
Job DescriptionJob Description
Our Healthcare client is seeking a Director of Network Management to oversee the provider network for their self-funded health insurance plan. This role involves developing and maintaining relationships with healthcare providers, negotiating contracts, ensuring network adequacy, and managing network performance.

The ideal candidate will have a strong background in health insurance, exceptional negotiation skills, and the ability to analyze network data to drive strategic decisions.Focus will be on CMS, Medicare

Location: 100% Remote, EST or CST candidates only 
 Key Responsibilities

1. Network Development and Maintenance

  • Provider Recruitment: Identify and recruit healthcare providers to join the network, ensuring a comprehensive and high-quality provider network.
  • Contract Negotiation: Negotiate contracts with healthcare providers, ensuring favorable terms and competitive rates for the employer and employees.
  • Network Adequacy: Ensure the network meets regulatory requirements and provides sufficient access to care for all members.

2. Relationship Management

  • Provider Relations: Develop and maintain strong relationships with network providers, addressing any issues or concerns promptly.
  • Communication: Serve as the primary point of contact for providers, facilitating effective communication between providers and the plan.

3. Performance Monitoring and Reporting

  • Data Analysis: Analyze network performance data to identify trends, areas for improvement, and opportunities for cost savings.
  • Reporting: Provide regular reports on network performance, utilization, and cost metrics to senior management.

4. Strategic Planning

  • Network Strategy: Develop and implement strategies to optimize the provider network, improve access to care, and control costs.
  • Innovative Solutions: Explore and implement innovative solutions to enhance network performance and member satisfaction.

5. Compliance and Risk Management

  • Regulatory Compliance: Ensure the network complies with all relevant laws and regulations, including ACA, ERISA, and state-specific requirements.
  • Risk Mitigation: Identify and address potential risks related to network management and provider relations.

6. Collaboration and Leadership

  • Cross-Functional Collaboration: Work closely with other departments, such as claims, customer service, and legal, to ensure coordinated efforts and effective plan management.
  • Team Leadership: Lead and mentor a team of network management professionals, fostering a collaborative and high-performing work environment.
Qualifications
  • Bachelor’s degree in Health Administration, Business Administration, or a related field; Master’s degree preferred.
  • Minimum of 7 years of experience in network management within the health insurance industry, with a focus on self-funded plans.
  • Strong negotiation skills with a proven track record of securing favorable provider contracts.
  • In-depth knowledge of healthcare regulations and compliance requirements.
  • Excellent analytical skills with the ability to interpret complex data and generate actionable insights.
  • Exceptional communication and relationship management skills.
  • Experience with provider network software and tools.
  • Certified Employee Benefit Specialist (CEBS) or Certified Healthcare Network Professional (CHNP) certification is a plus.

Vaco values a diverse workplace and strongly encourages women, people of color, LGBTQ+ individuals, people with disabilities, members of ethnic minorities, foreign-born residents, and veterans to apply.

EEO Notice

Vaco is an Equal Opportunity Employer and does not discriminate against any employee or applicant for employment because of race (including but not limited to traits historically associated with race such as hair texture and hair style), color, sex (includes pregnancy or related conditions), religion or creed, national origin, citizenship, age, disability, status as a veteran, union membership, ethnicity, gender, gender identity, gender expression, sexual orientation, marital status, political affiliation, or any other protected characteristics as required by federal, state or local law.

Vaco LLC and its parents, affiliates, and subsidiaries are committed to the full inclusion of all qualified individuals. As part of this commitment, Vaco LLC and its parents, affiliates, and subsidiaries will ensure that persons with disabilities are provided reasonable accommodations. If reasonable accommodation is needed to participate in the job application or interview process, to perform essential job functions, and/or to receive other benefits and privileges of employment, please contact HR@vaco.com .

Vaco also wants all applicants to know their rights that workplace discrimination is illegal.

By submitting to this position, you agree that you will be giving Vaco the exclusive right to present your as a candidate for the foregoing employment opportunity. You further agree that you have represented information about yourself accurately and have not affirmatively misrepresented your qualifications. You also agree to maintain as confidential, to the fullest extent permitted by law, any information you learn from Vaco about the position and you will limit disclosure of information about the position only to the extent necessary to perform any obligations in furtherance of your application. In exchange, Vaco agrees to exercise reasonable efforts to represent you through all solicitation, job screening and resume dispersal.

Privacy Notice

Vaco LLC and its parents, affiliates, and subsidiaries (“we,” “our,” or “Vaco”) respects your privacy and are committed to providing transparent notice of our policies.

  • California residents may access Vaco’s HR Notice at Collection for California Applicants and Employees here.
  • Virginia residents may access our state specific policies here.
  • Residents of all other states may access our policies here.
  • Canadian residents may access our policies in English here and in French here.
  • Residents of countries governed by GDPR may access our policies here.
Pay Transparency Notice

Determining compensation for this role (and others) at Vaco depends upon a wide array of factors including but not limited to:

  • the individual’s skill sets, experience and training;
  • licensure and certification requirements;
  • office location and other geographic considerations;
  • other business and organizational needs.

With that said, as required by local law, Vaco believes that the following salary range referenced above reasonably estimates the base compensation for an individual hired into this position in geographies that require salary range disclosure. The individual may also be eligible for discretionary bonuses.