Provider Network Management Director
1 week ago
Job Summary:
The Provider Network Management Director is responsible for developing and implementing strategies for provider recruitment, contract negotiations, and relationship development for large health systems and affiliated physician groups. This role requires a strong understanding of healthcare regulations and a ability to work collaboratively with local contracting teams and leads to drive deals with complex health systems, affiliated providers, and supports value-based and cost-of-care initiatives.
Key Responsibilities:
- Develop and implement provider network strategies to meet state and federal regulatory requirements
- Manage provider recruitment and contract negotiations with large health systems and affiliated physician groups
- Develop and maintain relationships with key stakeholders, including health system leaders, physicians, and other healthcare professionals
- Collaborate with local contracting teams and leads to drive deals with complex health systems, affiliated providers, and supports value-based and cost-of-care initiatives
- Provide data, insight, and expertise to support prioritized contracting efforts across multiple markets or in highly specialized components of the contracting process
- Partner with lead contractors for large-scale, multi-faceted negotiations
- Serve as a subject matter expert for prioritized contracting efforts across multiple markets or in highly specialized components of the contracting process
- May assist management in network development planning
- May provide work direction and establish priorities for field staff and may be involved in associate development and mentoring
Requirements:
- BA/BS degree and a minimum of 8 years' experience in contracting (value-based, shared savings, and ACO development), provider relations, provider servicing, health plan network implementations
- Experience must include prior contracting experience
- Strong understanding of healthcare regulations and ability to work collaboratively with local contracting teams and leads
- Ability to work independently with a high level of judgment and discretion
- May require travel up to 30%
Preferred Skills, Capabilities, and Experience:
- Experience using financial models and analysis to negotiate rates with providers
- Project management experience
- Health plan network development experience
Salary and Benefits:
The salary range for this position is $98,000 to $183,750. Elevance Health offers a comprehensive benefits package, incentive and recognition programs, equity stock purchase, and 401(k) contribution.
Location:
Candidates must reside within 50 miles or 1-hour commute each way of a relevant Elevance Health location.
Equal Employment Opportunity:
Elevance Health is an Equal Employment Opportunity employer and all qualified applicants will receive consideration for employment without regard to age, citizenship status, color, creed, disability, ethnicity, genetic information, gender (including gender identity and gender expression), marital status, national origin, race, religion, sex, sexual orientation, veteran status, or any other status or condition protected by applicable federal, state, or local laws.
-
Network Infrastructure Manager
2 weeks ago
Wilmington, Delaware, United States Saxon Global Full timeJob DescriptionSaxon Global is seeking a highly skilled Network Infrastructure Manager to join our team. As a key member of our IT operations team, you will be responsible for managing, supporting, and deploying network infrastructures to ensure seamless communication and data exchange.Key Responsibilities:Network Infrastructure Management: Oversee the...
-
Restaurant Operations Manager
2 weeks ago
Wilmington, Delaware, United States Restaurant Management Search Full timeRestaurant Management Search is seeking an experienced General Manager to lead the newest location of a rapidly growing health food concept in Wilmington, NC. This is a unique opportunity for a motivated and results-driven individual to join a lifestyle brand with a strong presence nationwide. The ideal candidate will have a proven track record in managing a...
-
Network Architect
2 weeks ago
Wilmington, Delaware, United States Diverse Lynx Full timeJob Title: Network ArchitectWe are seeking a highly skilled Network Architect to join our team at Diverse Lynx LLC. As a Network Architect, you will be responsible for designing, implementing, and maintaining our organization's data communication networks.Key Responsibilities:Plan, design, and implement data communication networks to meet organizational...
-
Director of Facilities Management
4 weeks ago
Wilmington, Delaware, United States Bud Discovery Full timeAbout the RoleBud Discovery is seeking a highly skilled and experienced Director of Facilities to join our team. As a key member of our operations team, you will be responsible for managing the facilities maintenance operations of our buildings and properties.Key ResponsibilitiesDirect and manage facilities maintenance operations, including preventative...
-
Health Information Management Director
2 days ago
Wilmington, Delaware, United States LibertyHealth System Full timeJob Title: Health Information Management DirectorLiberty Healthcare and Rehabilitation Services is seeking a highly skilled Health Information Management Director to join our team.Job Summary:The Health Information Management Director will be responsible for providing orientation to new HIM employees, conducting facility HIM site visits, and monitoring...
-
Senior Network Specialist
3 weeks ago
Wilmington, Delaware, United States Oscar Health Full timeAbout the RoleThe Senior Network Specialist plays a critical role in supporting membership growth and management at Oscar Health. This position involves executing the local network strategy and ensuring providers across our service area have the necessary information and support to deliver exceptional member care and drive quality outcomes.Key...
-
Cash Management Director
3 weeks ago
Wilmington, Delaware, United States Wilmington Savings Fund Society Full timeJob Title: Director of Cash ConnectAt Wilmington Savings Fund Society, we empower our Associates to grow their careers, we guide our customers to secure their financial futures, and we actively support our Communities so they can fully thrive. Careers with WSFS Bank offer an inclusive and supportive culture, competitive salaries, opportunities to advance,...
-
Tax Manager
2 weeks ago
Wilmington, Delaware, United States Thomas Talent Network Full timeJob Title: Tax ManagerThomas Talent Network is seeking a highly skilled Tax Manager to join our team. As a Tax Manager, you will be responsible for preparing individual, corporate, and partnership tax returns, communicating with clients to gather supporting documents, and identifying tax problems and developing solutions.Key Responsibilities:Prepare and...
-
Senior Network Specialist
3 weeks ago
Wilmington, Delaware, United States Oscar Health Full timeAbout the RoleThe Senior Network Specialist plays a critical role in supporting membership growth and management at Oscar Health. This position involves executing the local network strategy and ensuring providers across our service area have the necessary information and support to deliver exceptional member care and drive quality outcomes.Key...
-
Network Architect
3 weeks ago
Wilmington, Delaware, United States Omni Inclusive Full timeNetwork Engineer Role at Omni InclusiveWe are seeking a highly skilled Network Engineer to join our team at Omni Inclusive. As a key member of our network infrastructure team, you will be responsible for designing, implementing, and maintaining our network architecture.Key Responsibilities:Design and implement network infrastructure solutions using Cisco and...
-
Network Infrastructure Specialist
2 days ago
Wilmington, Delaware, United States Saxon Global Full timeMandatory Skills:We are seeking a highly skilled Network Operation Centre Engineer to join our team at Saxon Global. The ideal candidate will have experience managing, supporting, and deploying network infrastructures, as well as a strong ability to diagnose server or network alerts, events, or issues.The successful candidate will have a solid understanding...
-
Network Infrastructure Specialist
6 days ago
Wilmington, Delaware, United States KC Installation, LLC Full timeJob Title: Structured Cabling TechnicianWe are seeking a skilled Structured Cabling Technician to join our team at KC Installation, LLC. As a key member of our team, you will be responsible for designing and configuring data communication systems, identifying areas of improvement to increase efficiency, and ensuring the highest level of quality in our...
-
Senior Network Architect
5 days ago
Wilmington, Delaware, United States SMART TECH SKILLS LLC Full timeJob SummaryWe are seeking a highly skilled Cisco Network Engineer to join our team at Smart Tech Skills LLC. As a key member of our technology and professional services organization, you will be responsible for designing, implementing, and maintaining large-scale network infrastructure.Key Responsibilities:Provide technical expertise for medium to...
-
Tax Manager
2 weeks ago
Wilmington, Delaware, United States Thomas Talent Network Full timeJob Title: Tax ManagerWe are seeking a highly skilled Tax Manager to join our team at Thomas Talent Network in Wilmington, NC. As a Tax Manager, you will be responsible for leading our tax department and ensuring that all tax returns are completed accurately and on time.Key Responsibilities:Prepare individual, corporate, and partnership tax...
-
Network Systems Engineer
2 weeks ago
Wilmington, Delaware, United States Delaware Park Casino & Racing Full timeJob Title: Network EngineerWe are seeking a highly skilled Network Engineer to join our team at Delaware Park Casino & Racing. As a Network Engineer, you will be responsible for the overall health of our IT systems, including switches, routers, and firewalls.Key Responsibilities:Design, configure, and operate all IT network infrastructure, including servers,...
-
Network Systems Specialist
3 weeks ago
Wilmington, Delaware, United States State of North Carolina Full timeJob Title: Network TechnicianWe are seeking a highly skilled Network Technician to join our team at the State of North Carolina. As a Network Technician, you will be responsible for maintaining the health, management, and connectivity of our VIPER radio communications network.Key Responsibilities:Configure hardware and software to ensure optimal network...
-
Operations Director
2 weeks ago
Wilmington, Delaware, United States Leap Brands Full time{"title": "Director of Operations", "description": "Job SummaryAt Leap Brands, we are seeking a highly skilled and experienced Director of Operations to join our team. As a key member of our leadership team, you will be responsible for driving business growth and improving operational efficiency across our franchise network.Key ResponsibilitiesPartner with...
-
Network Systems Administrator
1 week ago
Wilmington, Delaware, United States Delaware Park Casino & Racing Full timeJob Title: Network EngineerJob Summary:We are seeking a highly skilled Network Engineer to join our team at Delaware Park Casino & Racing. The successful candidate will be responsible for the overall health of our IT systems, including switches, routers, and firewalls. They will also be responsible for all cybersecurity configurations, monitoring, and...
-
Fiber Network Recruiter
2 weeks ago
Wilmington, Delaware, United States Full Circle Fiber Partners Full timeJob Title: Fiber Network RecruiterWe are seeking a highly skilled and experienced recruiter to join our team at Full Circle Fiber Partners, LLC. As a Fiber Network Recruiter, you will play a critical role in sourcing and hiring skilled subcontractors to support our fiber infrastructure projects.Key Responsibilities:Source and recruit skilled subcontractors...
-
Director, Procurement Management
4 weeks ago
Wilmington, Delaware, United States Capital One Full timeAbout the RoleCapital One is seeking a seasoned Director, Procurement Management to join our Enterprise Supplier Management (ESM) Team. As a key member of our organization, you will be responsible for cultivating a culture of inclusion and belonging, where varying perspectives and opinions are valued.The ideal candidate will have a proven track record in...